GULF COAST KIDNEY CENTER INC (NPI# 1902837123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902837123 |
| Entity Type | Organization |
| Organization Name | GULF COAST KIDNEY CENTER INC |
| Other Organization Name | PHYSICIANS DIALYSIS HUDSON |
| Practice Address |
14153 Yosemite Dr Suite 102 Hudson FL 34667-8060 |
| Mailing Address |
19559 N E 10 Avenue N Miami Beach FL 33179-3501 |
| Practice Telephone | 7278620603 |
| Practice Fax Number | 7278624939 |
| Mailing Telephone | 3056513261 |
| Mailing Fax Number | 3056512961 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | ARTURO FERNANDEZ (VICE PRESIDENT) |
| Authorized Official Telephone | 3056513261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 209147001 | 05 |
| Other Name | Type Code |
|---|---|
| Physicians Dialysis Hudson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417983693 | Gulf Coast Kidney Center Inc | Clinic/Center | 9332 State Road 54, Suite 306, Trinity, FL 34655-1810 | 2006-06-23 |
| Street Address |
14153 YOSEMITE DR SUITE 102 |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-8060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497755664 | Anjali H Singh | Dermatology | 14153 Yosemite Dr, Suite 101, Hudson, FL 34667-8060 | 2005-07-28 |
| 1073057311 | Singh Medical Group, LLC | Dermatology | 14153 Yosemite Dr, Suite 101, Hudson, FL 34667-8060 | 2016-12-06 |
| 1538584990 | Internal Medicine Clinic | Pharmacist | 14153 Yosemite Dr, Hudson, FL 34667-8060 | 2014-02-21 |
| 1447480793 | Katz Orthopaedic Institute, LLC | Orthopaedic Surgery | 14153 Yosemite Dr, Suite 103, Hudson, FL 34667-8060 | 2009-07-21 |
| 1194964502 | Gulf Coast Spine Institute | Orthopaedic Surgery | 14153 Yosemite Dr, Suite 203, Hudson, FL 34667-8060 | 2009-02-09 |
| 1639233265 | Maria C Soto-aguilar M D P A | Internal Medicine | 14153 Yosemite Dr, Suite 201, Hudson, FL 34667-8060 | 2006-12-20 |
| 1801846464 | Ashok Pandit | Internal Medicine | 14153 Yosemite Dr, Suite 203, Hudson, FL 34667-8060 | 2006-05-12 |
| 1386631653 | Maria C Soto-aguilar | Internal Medicine | 14153 Yosemite Dr, Suite 201, Hudson, FL 34667-8060 | 2005-10-03 |
| 1184619256 | Christine M Behan | Internal Medicine | 14153 Yosemite Dr, Suite 104, Hudson, FL 34667-8060 | 2005-09-15 |
| 1992705297 | Sunanda Singh | Plastic Surgery | 14153 Yosemite Dr, Suite 101, Hudson, FL 34667-8060 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487046652 | Myrtle Dialysis LLC | Clinic/Center | 421 Stageline Rd, Hudson, WI 54016-7848 | 2015-02-25 |
| 1336552322 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 1901 Ward Ave, Suite 274, Hudson, WI 54016-2138 | 2014-06-06 |
| 1720055312 | Total Renal Care Inc | Clinic/Center | 14144 Nephron Ln, Hudson, FL 34667-6504 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
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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.