WISNER DIALYSIS LLC NPI 1205341120

NPI Information

NPI: 1205341120
Provider Name: WISNER DIALYSIS LLC

Doing Business As: CLERMONT DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1350 N HANCOCK RD
CLERMONT, FL
ZIP 34711
Phone: (615) 320-4286
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WISNER DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Clermont, FL. WISNER DIALYSIS LLC NPI is 1205341120. The provider is registered as an organization entity type.
The provider Is Doing Business As Clermont Dialysis.

The provider's business location address is:

1350 N HANCOCK RD
CLERMONT, FL
ZIP 34711-000
Phone: (615) 320-4286
Fax: (866) 594-2893

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 734-5003.

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/14/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		FLORIDA	Yes

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

NPI Synchronization or Removal

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