Provider Demographics
NPI:1235285776
Name:KIDNEY & HYPERTENSION SPECIALISTS PA
Entity Type:Organization
Organization Name:KIDNEY & HYPERTENSION SPECIALISTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-496-1160
Mailing Address - Street 1:5210 LINTON BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6542
Mailing Address - Country:US
Mailing Address - Phone:561-496-1160
Mailing Address - Fax:561-496-2660
Practice Address - Street 1:5210 LINTON BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6542
Practice Address - Country:US
Practice Address - Phone:561-496-1160
Practice Address - Fax:561-496-2660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77761207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH2716OtherMEDICARE RAILROAD GROUP
FL94783OtherBCBS GROUP NUMBER
FL661919OtherHARVARD INS GROUP NUMBER
FLCH2716OtherMEDICARE RAILROAD GROUP