NPIMap

Organization Active NPI

Florida Kidney Physicians, LLC

  • Nephrology Physician
  • Coral Springs, FL
National Provider Identifier
1093483059
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
FLORIDA KIDNEY PHYSICIANS, LLC
Practice address
850 Riverside Dr
Coral Springs, FL 33071-7010
Phone
(954) 345-4333
Fax
(954) 345-4334
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Elena Rivera
Title
Credentialing Manager
Phone
(480) 610-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

850 Riverside Dr
Coral Springs, FL 33071-7010

Mailing address

850 Riverside Dr
Coral Springs, FL 33071-7010
Phone (954) 345-4333

National Provider Directory

National Provider Directory
Tax ID family
Florida Kidney Physicians LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

850 Riverside Dr
Pompano Beach, FL 33071
Phone (954) 340-3353

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1093483059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 RIVERSIDE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717010",
            "telephone_number": "954-345-4333",
            "fax_number": "954-345-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERSIDE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717010",
            "telephone_number": "954-345-4333",
            "fax_number": "954-345-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA KIDNEY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-610-6100"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.