KIDNEY & DIALYSIS SPECIALISTS OF THE PALM BEACHES PA NPI 1033169107

NPI Information

  • NPI: 1033169107
  • Provider Name: KIDNEY & DIALYSIS SPECIALISTS OF THE PALM BEACHES, PA
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 10D1098813
  • Address: 5305 GREENWOOD AVE STE 102
    WEST PALM BEACH, FL
    ZIP 33407
  • Phone: (561) 840-7779

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NPI Details

KIDNEY & DIALYSIS SPECIALISTS OF THE PALM BEACHES, PA is a nephrology internal medicine in West Palm Beach, FL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. KIDNEY & DIALYSIS SPECIALISTS OF THE PALM BEACHES, PA NPI is 1033169107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5305 GREENWOOD AVE STE 102
WEST PALM BEACH, FL
ZIP 33407-448
Phone: (561) 840-7779

The provider's authorized official is Michelle Katherine Gammack-clark .
The authorized official title is Office Manager and has the following contact phone number (561) 840-7779.

The CLIA number assigned to this NPI record is 10D1098813 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 9/14/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyME75515FLORIDAYes

What is NPI?

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This page was last updated on: 3/30/2025

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