WEST ORANGE NEPHROLOGY LLC NPI 1578534749

NPI Information

NPI: 1578534749
Provider Name: WEST ORANGE NEPHROLOGY LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 10D2103612

Address:
1210 E PLANT ST STE 120
WINTER GARDEN, FL
ZIP 34787
Phone: (407) 297-8408
Get Directions

WEST ORANGE NEPHROLOGY LLC is a nephrology internal medicine in Winter Garden, 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. WEST ORANGE NEPHROLOGY LLC NPI is 1578534749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1210 E PLANT ST STE 120
WINTER GARDEN, FL
ZIP 34787-995
Phone: (407) 297-8408
Fax: (407) 297-8409

The provider's authorized official is Banji Awosika .
The authorized official title is Physician and has the following contact phone number (407) 297-8408.

The CLIA number assigned to this NPI record is 10D2103612 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 4/10/2023.

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
1	174400000X	Specialist		ME90977	FLORIDA	No
2	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005563100	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »