Florida Kidney Physicians , LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

FLORIDA KIDNEY PHYSICIANS , LLC

Practice address

14 Suntree PL Ste 104
Melbourne, FL 32940-7605

Phone

(321) 768-3655

Fax

(321) 831-3024

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Andres Julian Aranda

Title

Credentialing Specialist

Phone

(480) 610-6158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Florida Kidney Physicians , LLC

  • Nephrology Physician
  • Melbourne, FL
  • NPI 1205506722

  O20161228000460

  Same enrollment
• Florida Kidney Physicians , LLC

  • Nephrology Physician
  • Palm Bay, FL
  • NPI 1548930068

  O20161228000460

  Same enrollment
• Florida Kidney Physicians, LLC

  • Nephrology Physician
  • North Port, FL
  • NPI 1558037028

  O20161228000460

  Same enrollment
• Florida Kidney Physicians, LLC

  • Nephrology Physician
  • Temple Terrace, FL
  • NPI 1760831564

  O20161228000460

  Same enrollment

Practitioners 1

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

• Amy Megan Wegener, APRN

  • Nurse Practitioner
  • Melbourne, FL
  • NPI 1477211639
  NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1346910866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SUNTREE PL STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407605",
            "telephone_number": "321-768-3655",
            "fax_number": "321-831-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SUNTREE PL STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407605",
            "telephone_number": "321-768-3655",
            "fax_number": "321-831-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA KIDNEY PHYSICIANS , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "ARANDA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "480-610-6158"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Florida Kidney Physicians , LLC
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• Florida Music Therapy LLC
• Florida Pain & Rehabilitation Institute Inc (Spine, Orthopedics and Rehabilitation)
• Florida Psychological Center PLLC
• Florida Regional Consultants (Integrity Medical Hearing)

• Nephrology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.