Organization Name: | NEPHROLOGY CONSULTANTS OF PINELLAS LLC |
NPI Number: | 1003837337 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDERICK L DEWBERRY (OWNER/PRESIDENT) |
Mailing Address: | 617 Lakeview Rd Suite C Clearwater |
State: | FL US |
Postal Code: | 337563338 |
Phone Number: | 7274413724 |
Fax Number: | 7274422594 |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0034568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |