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DIALYSIS CARE CENTER BROOKSVILLE LLC NPI 1093381915


NPI Information

NPI: 1093381915
Provider Name: DIALYSIS CARE CENTER BROOKSVILLE LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D2228273

Address:
7179 BROAD ST
BROOKSVILLE, FL
ZIP 34601
Phone: (352) 848-3689
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DIALYSIS CARE CENTER BROOKSVILLE LLC is an end-stage renal disease (esrd) treatment clinic center in Brooksville, FL. DIALYSIS CARE CENTER BROOKSVILLE LLC NPI is 1093381915. The provider is registered as an organization entity type.

The provider's business location address is:

7179 BROAD ST
BROOKSVILLE, FL
ZIP 34601-536
Phone: (352) 848-3689
Fax: (352) 777-4958

The provider's authorized official is Morufu Olatunji Alausa .
The authorized official title is Medical Director and has the following contact phone number (815) 741-6830.

The CLIA number assigned to this NPI record is 10D2228273 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2021 and was last updated on 9/7/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.