NPIMap

Organization Active NPI

Florida Renal Associates Inc

  • Nephrology Physician
  • Tampa, FL
National Provider Identifier
1164655189
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
FLORIDA RENAL ASSOCIATES INC
Practice address
2810 W Saint Isabel St
Suite 101
Tampa, FL 33607-6375
Phone
(352) 552-7832
Fax
(352) 315-9197
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Shaheen Motiwala, M.D.
Title
President
Phone
(352) 314-3436

Specialties & licenses 1

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

Addresses

Primary practice location

2810 W Saint Isabel St
Suite 101
Tampa, FL 33607-6375

Mailing address

2810 W Saint Isabel St
Suite 101
Tampa, FL 33607-6375
Phone (352) 552-7832

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1164655189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "352-552-7832",
            "fax_number": "352-315-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "352-552-7832",
            "fax_number": "352-315-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA RENAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "MOTIWALA",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-314-3436",
        "authorized_official_credential": "M.D."
    },
    "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 Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.