ATLANTIC KIDNEY CENTERS INC (NPI# 1881675239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881675239 |
| Entity Type | Organization |
| Organization Name | ATLANTIC KIDNEY CENTERS INC |
| Practice Address |
4700 N Congress Ave Ste 104 West Palm Beach FL 33407-3282 |
| Practice Telephone | 5618452888 |
| Practice Fax Number | 5618457282 |
| Mailing Telephone | 5618452888 |
| Mailing Fax Number | 5618457282 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARIETTA HOLMES (ADMINISTRATOR) |
| Authorized Official Telephone | 5618452888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 21209330 | 05 | |
| AMERIGROUP | 209348 | 01 | |
| BCBS OF FL | V7Q | 01 |
| Street Address |
4700 N CONGRESS AVE STE 104 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407-3282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609233378 | New Birth New Life Medical Center, LLC | Naturopath | 4700 N Congress Ave, Suite 303, West Palm Beach, FL 33407-3282 | 2016-01-26 |
| 1144686536 | Futures Outpatient Group, LLC | Clinic/Center | 4700 N Congress Ave, Suite 104, West Palm Beach, FL 33407-3282 | 2016-01-14 |
| 1407273899 | Nicholas Rust | Physical Therapist | 4700 N Congress Ave, Suite 103, West Palm Beach, FL 33407-3282 | 2014-03-24 |
| 1023454063 | The Medical Group of South Florida, Inc | Specialist | 4700 N Congress Ave, Suite 301, West Palm Beach, FL 33407-3282 | 2013-05-17 |
| 1861789869 | Florida Hand Rehabilitation, Inc. | Physical Therapist | 4700 N Congress Ave, Ste 100, West Palm Beach, FL 33407-3282 | 2011-06-29 |
| 1700176013 | The Medical Group of South Florida Inc | Specialist | 4700 N Congress Ave, Ste 103, West Palm Beach, FL 33407-3282 | 2011-04-08 |
| 1386887883 | Akiva Joshua Marcus | Internal Medicine | 4700 N Congress Ave, Suite 201, West Palm Beach, FL 33407-3282 | 2009-04-13 |
| 1922276161 | Lawrence A Tepper and Allen F Schultz Dopa | Internal Medicine | 4700 N Congress Ave, Suite 304b, West Palm Beach, FL 33407-3282 | 2008-02-11 |
| 1285768416 | Gardens Ekg Associates | Internal Medicine | 4700 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3282 | 2007-03-16 |
| 1861526360 | Albert J Latorra | Surgery | 4700 N Congress Ave, West Palm Beach, FL 33407-3282 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437429321 | Gennaro Sagliocca, Md, Pa | Internal Medicine | 2000 Continental Drive, Suite B, West Palm Beach, FL 33340-3207 | 2012-01-09 |
| 1720037054 | Gennaro Sagliocca | Internal Medicine | 2000 Continental Dr, Suite B, West Palm Beach, FL 33407-3207 | 2006-05-05 |
| 1235100298 | Louis John Borucki | Internal Medicine | 1411 N Flagler Drive, Ste 8000, West Palm Beach, FL 33401 | 2006-01-30 |
| 1770779514 | Robert A Weiss, Md Pa | Internal Medicine | 1411 N Flagler Dr, Suite 7700, West Palm Beach, FL 33401-3404 | 2007-09-14 |
| 1295748929 | Advanced Kidney Care Md Pa | Internal Medicine | 1411 N Flagler Dr, Suite 4700, West Palm Beach, FL 33401-3404 | 2006-08-14 |
| 1033169107 | Kidney & Dialysis Specialists of The Palm Beaches, Pa | Internal Medicine | 927 45th St, Suite 102, West Palm Beach, FL 33407-2450 | 2006-05-11 |
| 1770552390 | Sureshchandra O Shah | Internal Medicine | 1501 Presidential Way, 12, West Palm Beach, FL 33401-1800 | 2006-03-16 |
| 1336146679 | Sergio R Vega | Internal Medicine | 1500 N Dixie Hwy, Suite 206, West Palm Beach, FL 33401-2712 | 2005-07-01 |
| 1811994296 | Michael Lotfi | Internal Medicine | 927 45th St, Suite 102, West Palm Beach, FL 33407-2450 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896281 | Meraki Medical Center LLC | Internal Medicine | 12565 Orange Dr Ste 401, Davie, FL 33330-4305 | 2020-09-21 |
| 1972117109 | Mogilishetty Pllc | Internal Medicine | 10012 Gulf Center Dr Ste 5292, Fort Myers, FL 33913-8904 | 2020-09-04 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1245853746 | Ronald M. Goldin, M.d.,p.a. | Internal Medicine | 4215 Burns Rd Ste 240, Palm Beach Gardens, FL 33410-4625 | 2020-05-19 |
| 1447879739 | F Duncan Scott Md Pa | Internal Medicine | 4516 E Highway 20 # 108, Niceville, FL 32578-9755 | 2020-04-16 |
| 1245879055 | Atza Swicht Transportation Corp | Internal Medicine | 1309 Santa Rosa Dr Apt 202, Kissimmee, FL 34741-7572 | 2019-12-26 |
| 1427699859 | Nephro Care Solutions, LLC | Internal Medicine | 1401 Sw 107th Ave Ste 301m, Miami, FL 33174-2553 | 2019-10-07 |
| 1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
| 1427617265 | Sunstate Kidney & Hypertension LLC | Internal Medicine | 9907 Warm Stone St, Thonotosassa, FL 33592-3350 | 2019-06-06 |
| 1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.