PSA PEDIATRIC NEPHROLOGY NPI 1124488127

NPI Information

  • NPI: 1124488127
  • Provider Name: PSA PEDIATRIC NEPHROLOGY
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 1665 MEDICAL BLVD
    NAPLES, FL
    ZIP 34110
  • Phone: (305) 662-8352

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NPI Details

PSA PEDIATRIC NEPHROLOGY is a nephrology internal medicine in Naples, 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. PSA PEDIATRIC NEPHROLOGY NPI is 1124488127. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1665 MEDICAL BLVD
NAPLES, FL
ZIP 34110-402
Phone: (305) 662-8352
Fax: (305) 669-6545

The provider's authorized official is Timothy Birkenstock .
The authorized official title is Svp & Cfo For Mchs and has the following contact phone number (305) 669-6422.

The enumeration date for this NPI number is 3/3/2016 and was last updated on 3/3/2016.

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 MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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