Gulf Coast Kidney Center Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

GULF COAST KIDNEY CENTER INC

Doing business as

Physicians Dialysis Hudson

Practice address

14153 Yosemite Dr
Suite 102
Hudson, FL 34667-8060

Phone

(727) 862-0603

Fax

(727) 862-4939

NPI assigned

Jul 5, 2006

Last updated

May 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arturo Fernandez

Title

Vice President

Phone

(305) 651-3261

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physicians Dialysis Hudson Doing business as

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1902837123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19559 N E 10 AVENUE",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331793501",
            "telephone_number": "305-651-3261",
            "fax_number": "305-651-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14153 YOSEMITE DR",
            "address_2": "SUITE 102",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678060",
            "telephone_number": "727-862-0603",
            "fax_number": "727-862-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST KIDNEY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-651-3261"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209147001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Dialysis Hudson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agnes P Green, M.D.
• Jane Griggs
• Scott D Grimm, PAC
• Qin Gu
• Christina Guida, ATC, LAT
• Gulf Coast Orthopedic Center
• Gulf Coast Palliative Care, Inc.
• Gulf Internal Medicine PL
• Gulfcoast Anesthesia Specialists Inc
• Karin H. Gunther, DO, MS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hudson, FL
• Providers in Hudson, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.