OrganizationActive
Florida Kidney Physicians, LLC
NPI 1205409752 · Nephrology Physician · Port Charlotte, FL
Provider details
- NPI number
- 1205409752
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Rivera, Credentialing Manager(480) 610-6100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3221 Tamiami Trl
Port Charlotte, FL 33952-8002
Phone: (941) 505-8720
Fax: (855) 793-3651
Street-level locationGet directions
Mailing address
3221 Tamiami Trl
Port Charlotte, FL 33952-8002
Registry dates
- Enumerated
- 2021-07-22
- Last updated
- 2021-07-22
- Certified
- 2021-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.