Provider Demographics
NPI:1801838305
Name:KIDNEY AND HYPERTENSION SPECIALIST OF MIAMI PA
Entity Type:Organization
Organization Name:KIDNEY AND HYPERTENSION SPECIALIST OF MIAMI PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEPHROLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:SEYMOUR
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:FRANKFURT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-835-7045
Mailing Address - Street 1:1190 NW 95TH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2064
Mailing Address - Country:US
Mailing Address - Phone:305-835-7045
Mailing Address - Fax:305-836-2359
Practice Address - Street 1:1190 NW 95TH ST STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2064
Practice Address - Country:US
Practice Address - Phone:305-835-7045
Practice Address - Fax:305-836-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL379485700Medicaid