Healthcare Provider Details

I. General information

NPI: 1831010230
Provider Name (Legal Business Name): VSP NEPHROLOGY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 W HIGHLAND BLVD
INVERNESS FL
34452-4718
US

IV. Provider business mailing address

2063 N LECANTO HWY STE 1
LECANTO FL
34461-9675
US

V. Phone/Fax

Practice location:
  • Phone: 352-470-0230
  • Fax:
Mailing address:
  • Phone: 352-470-0230
  • Fax: 352-240-3710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: SMITA PADALA
Title or Position: OWNER
Credential:
Phone: 352-533-4422