St. Petersburg Kidney Center

LBN: St Petersburg Kidney Care Llc
St. Petersburg Kidney Center is an health care organization with primary practice located at 800 3Rd Ave S Webb Plaza, St Petersburg FL 33701-4010. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. St Petersburg Kidney Care Llc can be contacted via phone (727) 821-3201, or through Brady, Sara Anne via phone (208) 371-7878.

Contact Information

Primary practice address
800 3Rd Ave S Webb Plaza St Petersburg FL 33701-4010
Phone: (727) 821-3201
Fax: (727) 821-3140
Website:
Map and Directions
Authorized official contact:
Name: Brady, Sara Anne
Phone: (208) 371-7878

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1326314295
LBN Legal business name St Petersburg Kidney Care Llc
DBA Doing business as St. Petersburg Kidney Center
Authorized official Brady, Sara Anne
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2012
Last updated Jan 14th, 2023 - about last year

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 1326314295 NPPES
Florida MEDICAID 006736000

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