South Florida Nephrology Group P a

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH FLORIDA NEPHROLOGY GROUP P A

Practice address

722 Riverside Dr
Coral Springs, FL 33071-7008

Phone

(954) 345-4333

Fax

(954) 345-4334

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rachael Bloomfield, D.O.

Title

Owner

Phone

(954) 345-4333

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

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

• Ma Veronica Cru Gamboa, ARNP

  • Nurse Practitioner
  • Coral Springs, FL
  • NPI 1669545349
  NPD (past)
• Catherin Mary Lauzon, ARNP

  • Adult Health Nurse Practitioner
  • Davie, FL
  • NPI 1902989965
  NPD (past)
• Gautam Cherla, MD

  • Nephrology Physician
  • Springfield, MO
  • NPI 1720010051
  NPD (past)
• Carlos A Leon, M.D.

  • Nephrology Physician
  • St George, UT
  • NPI 1932131869
  NPD (past)
• Nirupama Vemuri, MD

  • Nephrology Physician
  • Porterville, CA
  • NPI 1659303980
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1326136144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 RIVERSIDE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717008",
            "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": "722 RIVERSIDE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717008",
            "telephone_number": "954-345-4333",
            "fax_number": "954-345-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA NEPHROLOGY GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "BLOOMFIELD",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-345-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326136144",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1326136144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.