SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC NPI 1992071245

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 1992071245. The provider is registered as an organization entity type.
The provider Is Doing Business As Kissimmee Home Training.

The provider's business location address is:

1203 N CENTRAL AVE
STE A
KISSIMMEE, FL
ZIP 34741-407
Phone: (407) 518-9232
Fax: (407) 518-9350

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 10D2050867 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2012 and was last updated on 10/31/2023.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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