Advanced Kidney Care Md Pa

LBN: Advanced Kidney Care Md Pa
Advanced Kidney Care Md Pa is an health care organization with primary practice located at 4425 Military Trail Suite 212, Jupiter FL 33458. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Advanced Kidney Care Md Pa can be contacted via phone (561) 721-1112, or through Thompson, Dolly via phone (561) 721-1112.

Contact Information

Primary practice address
4425 Military Trail Suite 212 Jupiter FL 33458
Fax: (561) 296-3082
Website:
Authorized official contact:
Name: Thompson, Dolly

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1144333873
LBN Legal business name Advanced Kidney Care Md Pa
DBA Doing business as
Authorized official Thompson, Dolly
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Oct 2nd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144333873 NPPES
Florida MEDICAID 253024400

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