Organization · Type 2 NPI

Daytona Beach Nephrology LLC

Nephrology Physician · Port Orange, FL

NPI number 1376193029 Active

Practice location

1728 Dunlawton Ave Ste 4
Port Orange, FL 32127-2923

Fax (386) 304-8204

Other practice locations

  • 335 Clyde Morris Blvd Ste 260, Ormond Beach, FL 32174-3196 · (386) 304-8302
  • 125 Florida Memorial Pkwy Ste 2300, New Smyrna Beach, FL 32168-9309 · (386) 304-8302

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300XNone listed

Nephrology Physician: 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.

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About NPI 1376193029

Daytona Beach Nephrology LLC's National Provider Identifier is 1376193029, issued on Sep 16, 2019. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Port Orange, FL. The record was last updated on Aug 31, 2021.