MEDICARE: WEST COAST NEPHROLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174770887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST COAST NEPHROLOGY

Provider Business Mailing Address
First Line	:	5880 49TH ST N STE 202
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2147
Country	:	US
Telephone Number	:	727-527-2400
Fax Number	:	727-527-3009

Provider Business Practice Location Address
First Line	:	5880 49TH ST N STE 202
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2147
Country	:	US
Telephone Number	:	727-527-2400
Fax Number	:	727-527-3009

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BHAGWAT D PATEL
Credential	:	M.D.
Telephone Number	:	727-527-2400

Provider Enumeration Date	:	08/25/2008
Last Update Date	:	10/16/2025

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1740755537 — MRS. CHELSEA HERMEZ APRN- FNP-C
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Directions to “WEST COAST NEPHROLOGY ” Practice Location

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