Treasure Coast Nephrology LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

TREASURE COAST NEPHROLOGY LLC

Practice address

2000 Hartman Rd Ste 1
Fort Pierce, FL 34947-4413

Phone

(772) 465-1170

NPI assigned

Dec 4, 2019

Last updated

Oct 1, 2020By 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

B Aurora F Tomita, MD

Title

Manager

Phone

(772) 465-1170

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1922645324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN RD STE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474413",
            "telephone_number": "772-465-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN RD STE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474413",
            "telephone_number": "772-465-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "TOMITA",
        "authorized_official_first_name": "B AURORA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-465-1170",
        "authorized_official_credential": "MD"
    },
    "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": "105289000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Treasure Coast Injury and Wellness Centre
• Treasure Coast J -Tacs, Inc.
• Treasure Coast Medical Group, PA
• Treasure Coast Medortho LLC (Treasure Coast Injury & Walk-In Clinic)
• Treasure Coast Mobile Rehab
• Treasure Coast Neurology, Inc
• Treasure Coast Neuroscience and Wellness Center LLC
• Treasure Coast Non-Surgical Orthopedics PLLC
• Treasure Coast Prosthetics & Orthotics Services, Inc.
• Treasure Coast Senior Care LLC

• Nephrology Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.