St. Petersburg Kidney Center South

LBN: St Petersburg Kidney Care South Llc
St. Petersburg Kidney Center South is an health care organization with primary practice located at 4050 34Th Street South , St Petersburg FL 33711-4350. 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 South Llc can be contacted via phone (727) 867-1279, or through Brady, Sara Anne via phone (208) 371-7878.

Contact Information

Primary practice address
4050 34Th Street South St Petersburg FL 33711-4350
Phone: (727) 867-1279
Fax: (727) 867-1280
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 1235549387
LBN Legal business name St Petersburg Kidney Care South Llc
DBA Doing business as St. Petersburg Kidney Center South
Authorized official Brady, Sara Anne
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2014
Last updated Jan 14th, 2023 - about 2 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 1235549387 NPPES
Florida MEDICAID 014094000

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