Organization Active NPI

South Florida Nephrology Consultants PL

  • Nephrology Physician
  • Pembroke Pines, FL
National Provider Identifier
1457574808
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTH FLORIDA NEPHROLOGY CONSULTANTS PL
Practice address
603 N Flamingo Rd Ste 265
Pembroke Pines, FL 33028-1013
Phone
(954) 986-9008
Fax
(954) 986-6646
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Mrs. Linda G Allshouse, CMPE
Title
Administrator
Phone
(954) 986-9008

Specialties & licenses 1

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

Addresses

Primary practice location

603 N Flamingo Rd Ste 265
Pembroke Pines, FL 33028-1013

Mailing address

603 N Flamingo Rd Ste 265
Pembroke Pines, FL 33028-1013
Phone (954) 986-9008

Other identifiers 1

IdentifierTypeStateIssuer
278582000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000259 FL Part B Supplier - Clinic/Group Practice 0042304362 Receives reassigned benefits from 4 practitioners
Practice locations: Pembroke Pines, FL; Miramar, FL; Miami Lakes, FL; Miami, FL; Hollywood, FL; Davie, FL

National Provider Directory

National Provider Directory

Locations

4970 SW 52nd St
#3
Davie, FL 33314
Phone (954) 791-7301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHEAAA

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1457574808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD STE 265",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281013",
            "telephone_number": "954-986-9008",
            "fax_number": "954-986-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD STE 265",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281013",
            "telephone_number": "954-986-9008",
            "fax_number": "954-986-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA NEPHROLOGY CONSULTANTS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "ALLSHOUSE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-986-9008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278582000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.