SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC NPI 1003229766

NPI Information

SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS, LLC is an end-stage renal disease (esrd) treatment clinic center in Kissimmee, FL. SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS, LLC NPI is 1003229766. The provider is registered as an organization entity type.
The provider Is Doing Business As Buena Ventura Lakes Dialysis.

The provider's business location address is:

1998 E OSCEOLA PKWY
KISSIMMEE, FL
ZIP 34743-600
Phone: (407) 348-1271
Fax: (407) 348-1407

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 10D2081001 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 12/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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