KIDNEY LIFE INCORPORATED NPI 1760523294

NPI Information

NPI: 1760523294
Provider Name: KIDNEY LIFE INCORPORATED

Doing Business As: SEMINOLE DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
10755 PARK BLVD
SUITE B
SEMINOLE, FL
ZIP 33772
Phone: (727) 393-5551
Get Directions

KIDNEY LIFE INCORPORATED is an end-stage renal disease (esrd) treatment clinic center in Seminole, FL. KIDNEY LIFE INCORPORATED NPI is 1760523294. The provider is registered as an organization entity type.
The provider Is Doing Business As Seminole Dialysis Center.

The provider's business location address is:

10755 PARK BLVD
SUITE B
SEMINOLE, FL
ZIP 33772-420
Phone: (727) 393-5551
Fax: (727) 398-1971

The provider's authorized official is Jossette S Malti .
The authorized official title is Ceo President and has the following contact phone number (727) 896-5500.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 4/23/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			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	10-2581	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	200573500	MEDICAID	FLORIDA
3	V19	OTHER	FLORIDA	BCBS FL

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: 4/28/2024

NPI Synchronization or Removal

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