OrganizationActive
St Petersburg Kidney Care South LLC
NPI 1235549387 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St Petersburg, FL
Provider details
- NPI number
- 1235549387
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sara Brady, Chief Nursing Officer(208) 371-7878
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
4050 34th Street South
St Petersburg, FL 33711-4350
Phone: (727) 867-1279
Fax: (727) 867-1280
Street-level locationGet directions
Mailing address
4050 34th Street South
St Petersburg, FL 33711-4350
Other names (DBA / former)
- Doing business as
- St. Petersburg Kidney Center South
- Doing business as
- St. Petersburg Kidney Center South
Registry dates
- Enumerated
- 2014-04-29
- Last updated
- 2023-01-14
- Certified
- 2023-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.