CENTRAL FLORIDA KIDNEY CENTERS INC NPI 1952307589

NPI Information

NPI: 1952307589
Provider Name: CENTRAL FLORIDA KIDNEY CENTERS INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
:
CLIA Number: 10D0275061
Address: 220 MEDPLEX PKWY NE
PALM BAY, FL
ZIP 32907
Phone: (321) 722-2649

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NPI Details

CENTRAL FLORIDA KIDNEY CENTERS INC is an end-stage renal disease (esrd) treatment clinic center in Palm Bay, FL. CENTRAL FLORIDA KIDNEY CENTERS INC NPI is 1952307589. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

220 MEDPLEX PKWY NE
PALM BAY, FL
ZIP 32907-560
Phone: (321) 722-2649
Fax: (321) 722-2716

The provider's authorized official is Amy Kozsuch .
The authorized official title is Ceo and has the following contact phone number (407) 843-6110.

The CLIA number assigned to this NPI record is 10D0275061 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 5/7/2025.

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	100626200	MEDICAID	FLORIDA
2	200512301	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: 11/21/2025

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