Orlando Kidney Care LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ORLANDO KIDNEY CARE LLC

Doing business as

Florida Kidney Care LLC

Practice address

1050 37TH PL Ste 104
Vero Beach, FL 32960-6501

Phone

(772) 978-5811

Fax

(772) 978-5815

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Ryan Valle

Title

President

Phone

(781) 699-9362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Florida Kidney Care LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Richard Eddy, APRN

  • Gerontology Nurse Practitioner
  • Vero Beach, FL
  • NPI 1780335299
  Medicare reassignment Care Compare group NPD
• Jean Luc Franck, MD

  • Nephrology Physician
  • Vero Beach, FL
  • NPI 1992128482
  Medicare reassignment Care Compare group NPD
• Ivette Gomez Saavedra, MD

  • Nephrology Physician
  • Vero Beach, FL
  • NPI 1629636337
  Medicare reassignment Care Compare group NPD
• Sharon Powell, APRN

  • Acute Care Nurse Practitioner
  • Vero Beach, FL
  • NPI 1558033571
  Medicare reassignment Care Compare group NPD
• Pablo Emmanuel Puello Diaz, MD

  • Nephrology Physician
  • Vero Beach, FL
  • NPI 1700205523
  Medicare reassignment NPD
• Patricia Lynn Schwartz, ARNP

  • Pediatric Nurse Practitioner
  • Vero Beach, FL
  • NPI 1376873216
  NPD (past)
• Jasvant S Surani, MD

  • Pediatrics Physician
  • Vero Beach, FL
  • NPI 1780644070
  NPD (past)
• Asoka Wijetilleke

  • Pediatrics Physician
  • Vero Beach, FL
  • NPI 1750394987
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1922455989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 37TH PL STE 104",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606501",
            "telephone_number": "772-978-5811",
            "fax_number": "772-978-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 37TH PL STE 104",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606501",
            "telephone_number": "772-978-5811",
            "fax_number": "772-978-5815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14355 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583256",
            "country_code": "US",
            "telephone_number": "772-978-5811",
            "fax_number": "772-978-5815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORLANDO KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-699-9362"
    },
    "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": "024118500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Kidney Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nephrology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.