MAMMOTH DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Tampa, FL. MAMMOTH DIALYSIS LLC NPI is 1275810905. The provider is registered as an organization entity type.
The provider Is Doing Business As Carrollwood Dialysis.
The provider's business location address is:
14358 N DALE MABRY HWY
TAMPA, FL
ZIP 33618-018
Phone: (813) 960-3751
Fax: (813) 961-7312
The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director,licensure&certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 10D2034664 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/9/2011 and was last updated on 8/8/2023.