=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831010230
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VSP NEPHROLOGY ASSOCIATES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2026
-----------------------------------------------------
Last Update Date | 07/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 402 W HIGHLAND BLVD
-----------------------------------------------------
City | INVERNESS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34452-4718
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-470-0230
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2063 N LECANTO HWY STE 1
-----------------------------------------------------
City | LECANTO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34461-9675
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-470-0230
-----------------------------------------------------
Fax | 352-240-3710
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SMITA PADALA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 352-533-4422
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------