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

Psa Pediatric Nephrology

Organization Nephrology Physician · NPI 1124488127

Psa Pediatric Nephrology is a Nephrology Physician in Naples, Florida. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1665 Medical Blvd
Naples, FL 34110-1402
Phone: (305) 662-8352
Fax: (305) 669-6545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1124488127
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Specialty Group, Inc
Authorized official Timothy Birkenstock — Svp & Cfo For McHs · (305) 669-6422
NPI enumeratedMarch 3, 2016
Last updated in NPPESMarch 3, 2016
Mailing address3100 Sw 62nd Ave, Miami, FL 33155-3009

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