MAMMOTH DIALYSIS LLC (NPI# 1275810905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275810905 |
| Entity Type | Organization |
| Organization Name | MAMMOTH DIALYSIS LLC |
| Other Organization Name | CARROLLWOOD DIALYSIS |
| Practice Address |
14358 N Dale Mabry Hwy Tampa FL 33618-2018 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8139603751 |
| Practice Fax Number | 8139617312 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006349500 | 05 |
| Other Name | Type Code |
|---|---|
| Carrollwood Dialysis | Doing Business As Name - Organization |
| Street Address |
14358 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720622574 | Fresenius Medical Care Tampa, LLC | Clinic/Center | 4602 N Armenia Ave Bldg B, Tampa, FL 33603-2626 | 2019-11-05 |
| 1932677838 | Bayfield Dialysis LLC | Clinic/Center | 6222 Harney Rd, Tampa, FL 33610-5500 | 2018-11-08 |
| 1437673407 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5951 Webb Rd, Tampa, FL 33615-3219 | 2017-08-01 |
| 1952771313 | Starks Dialysis LLC | Clinic/Center | 2301 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2015-09-29 |
| 1922477017 | Starks Dialysis, LLC | Clinic/Center | 2301 Martin Luther King Jr Blvd, Tampa, FL 33606 | 2015-09-18 |
| 1033599766 | Dsi Lutz, LLC | Clinic/Center | 3421 N Lakeview Dr, Tampa, FL 33618-4910 | 2015-06-08 |
| 1871971556 | Brache Dialysis LLC | Clinic/Center | 2205 W Kennedy Blvd, Tampa, FL 33606-1536 | 2015-05-13 |
| 1518196252 | Total Renal Care Inc | Clinic/Center | 10770 N 46th St Ste A100, Tampa, FL 33617-3465 | 2009-07-02 |
| 1629250857 | Bio Medical Applications | Clinic/Center | 5625 W Waters Ave Ste A, Tampa, FL 33634-1226 | 2007-11-29 |
| 1245324995 | University of South Florida Dialysis Center | Clinic/Center | 10770 N 46th Street Suite A 100, Tampa, FL 33617 | 2006-10-03 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.