FLORIDA KIDNEY PHYSICIANS, LLC
NPI 1295402121
Internal Medicine - Nephrology in Englewood, FL

Q: What is Florida Kidney Physicians, LLC's NPI number?

The NPI number for Florida Kidney Physicians, LLC is 1295402121. It was assigned to this organization in the NPPES registry on August 27, 2021.

Q: What is Florida Kidney Physicians, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since August 27, 2021CLIA 10D2320603 · Certificate of Compliance

1861 PLACIDA RD STE 203, ENGLEWOOD, FL 34223(813) 910-0030(813) 971-6473 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Florida Kidney Physicians, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA KIDNEY PHYSICIANS, LLC (NPI 1295402121) is a healthcare organization registered as a nephrology in Englewood, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Certificate of Compliance certificate valid through January 26, 2028 and lists Maria Elena Rivera, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1295402121

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameFLORIDA KIDNEY PHYSICIANS, LLC

Location Address1861 PLACIDA RD STE 203Englewood, FL 34223-4949

Mailing Address1861 Placida Rd Ste 203Englewood, FL 34223-4949 · (813) 910-0030 · Fax (813) 971-6473

Phone(813) 910-0030

Fax(813) 971-6473

Organization SubpartNo

Authorized OfficialMaria Elena RiveraCredentialing Manager · (480) 610-6100

Enumeration DateAugust 27, 2021

NPPES CertifiedAugust 27, 2021

✔ NPI 1295402121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

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.

1861 PLACIDA RD STE 203, Englewood, FL 34223

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2320603

Florida Kidney Physicians · Temple Terrace, FL

Active · expires Jan 26, 2028

CLIA Number10D2320603

Laboratory TypePhysician Office

Certificate Effective DateJanuary 27, 2026

Certificate Expiration DateJanuary 26, 2028

Laboratory DirectorEric S. Lazar

Laboratory Phone(813) 910-0030

Laboratory LocationFlorida Kidney Physicians12662 Telecom Drive, Temple Terrace, FL 33637

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Kidney Physicians, LLC's NPI number?

The NPI number for Florida Kidney Physicians, LLC is 1295402121. It was assigned to this organization in the NPPES registry on August 27, 2021.

Where is Florida Kidney Physicians, LLC located?

Florida Kidney Physicians, LLC is located at 1861 Placida Rd Ste 203, Englewood, FL 34223. The listed phone number is (813) 910-0030.

What is Florida Kidney Physicians, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Florida Kidney Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2320603) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Kidney Physicians, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Kidney Physicians, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Kidney Physicians, LLC was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.