SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC NPI 1063841492

NPI Information

SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC is an end-stage renal disease (esrd) treatment clinic center in Ocoee, FL. SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC NPI is 1063841492. The provider is registered as an organization entity type.
The provider Is Doing Business As Ocoee Home Training.

The provider's business location address is:

1552 BOREN DR
STE 100
OCOEE, FL
ZIP 34761-216
Phone: (407) 877-2012
Fax: (407) 877-2040

The provider's authorized official is Samuel T. Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 10D2068904 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 12/7/2023.

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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