NEPHROLOGY CONSULTANTS OF PINELLAS LLC NPI 1003837337

NPI Information

NEPHROLOGY CONSULTANTS OF PINELLAS LLC is a specialist in Clearwater, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEPHROLOGY CONSULTANTS OF PINELLAS LLC NPI is 1003837337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

617 LAKEVIEW RD
SUITE C
CLEARWATER, FL
ZIP 33756-338
Phone: (727) 441-3724
Fax: (727) 442-2594

The provider's authorized official is Frederick L Dewberry .
The authorized official title is Owner/president and has the following contact phone number (727) 441-3724.

The CLIA number assigned to this NPI record is 10D2099105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 3/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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