Renal Care Consultants PL

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

70777 Issued in FL

Legal business name

RENAL CARE CONSULTANTS PL

Practice address

4641 S Clyde Morris Blvd
201
Port Orange, FL 32129-6003

Phone

(386) 322-6340

Fax

(386) 322-6212

NPI assigned

Aug 13, 2008

Organization subpart

No

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

Authorized official

Name

Sajid Latif, M.D.NPI 1265429823

Title

Owner

Phone

(386) 322-6340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sajid Latif, M.D.

  • Nephrology Physician
  • Port Orange, FL
  • NPI 1265429823
  Medicare reassignment Care Compare group NPD Authorized official
• Tara Lynn Swanton

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1982147963
  Medicare reassignment Care Compare group NPD
• Abdul Q. Jumani, M.D,FACP.

  • Nephrology Physician
  • Port Orange, FL
  • NPI 1861425936
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1174779870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 S CLYDE MORRIS BLVD",
            "address_2": "201",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296003",
            "telephone_number": "386-322-6340",
            "fax_number": "386-322-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 S CLYDE MORRIS BLVD",
            "address_2": "201",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296003",
            "telephone_number": "386-322-6340",
            "fax_number": "386-322-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE CONSULTANTS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "SAJID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-322-6340",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "70777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael William Reed, LCSW
• Asiel Regueiro, MSN, FNP-C, AGACNP-C
• Megan C Reid
• Hendrika Grada Reintjes, PT
• Reliable Shuttle Solutions
• Kyle Michael Rentschler, LAT, ATC, MS
• Jonathan Reyes Cartagena
• Christina Haejung Rho, MD
• Jan Richard Rhodes, MD
• Burhan Riaz, MD

• Nephrology Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.