Provider Demographics
NPI:1285848598
Name:VERO RENAL ASSOCIATES P A
Entity Type:Organization
Organization Name:VERO RENAL ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:HANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-562-3234
Mailing Address - Street 1:777 37TH ST
Mailing Address - Street 2:SUITE C-107
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4873
Mailing Address - Country:US
Mailing Address - Phone:772-562-3234
Mailing Address - Fax:772-562-3236
Practice Address - Street 1:777 37TH ST
Practice Address - Street 2:SUITE C-107
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4873
Practice Address - Country:US
Practice Address - Phone:772-562-3234
Practice Address - Fax:772-562-3236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74680207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58979OtherBCBS FLA
FLH39158Medicare UPIN
FL58979OtherBCBS FLA
58979YMedicare PIN