Provider Demographics
NPI:1073701934
Name:RENAL SPECIALISTS OF NAPLES INC
Entity type:Organization
Organization Name:RENAL SPECIALISTS OF NAPLES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOJI
Authorized Official - Middle Name:
Authorized Official - Last Name:URLANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-649-4565
Mailing Address - Street 1:PO BOX 111089
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-0119
Mailing Address - Country:US
Mailing Address - Phone:239-649-4565
Mailing Address - Fax:239-649-4284
Practice Address - Street 1:661 GOODLETTE RD N STE 104
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5609
Practice Address - Country:US
Practice Address - Phone:239-649-4565
Practice Address - Fax:239-649-4284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79489207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G19070Medicare UPIN
FLK5395Medicare PIN