Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kidney Home, LLC

Organization Nephrology Physician · NPI 1598191272

Kidney Home, LLC is a Nephrology Physician in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2751 Enterprise Rd Ste 215
Orange City, FL 32763-8256
Phone: (407) 323-5047
Fax: (407) 323-5048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME94020 (FL)

Record details

NPI number1598191272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Tudor — Owner · (407) 323-5047
NPI enumeratedSeptember 25, 2013
Last updated in NPPESSeptember 26, 2013
Mailing addressPo Box 1881, Sanford, FL 32772-1881

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