Atlantic Nephrology Inc

LBN: Atlantic Nephrology Inc
Atlantic Nephrology Inc is an health care organization with primary practice located at 61 Memorial Medical Pkwy Suite #3806, Palm Coast FL 32164-5981. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Atlantic Nephrology Inc can be contacted via phone (386) 437-7340, or through Ferguson, William Bonlore via phone (386) 871-3767.

Contact Information

Primary practice address
61 Memorial Medical Pkwy Suite #3806 Palm Coast FL 32164-5981
Phone: (386) 437-7340
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, William Bonlore MD, PHD
Phone: (386) 871-3767

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME94793 Florida

Profile Details

NPI number 1376704155
LBN Legal business name Atlantic Nephrology Inc
DBA Doing business as
Authorized official Ferguson, William Bonlore MD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2008
Last updated Mar 4th, 2013 - about 11 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 1376704155 NPPES
Florida MEDICAID 250792700
Florida Other 40336
Florida Other AD824Z

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