ELITE PERITONEAL DIALYSIS OF MIAMI BEACH,LLC (NPI# 1306149737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306149737 |
| Entity Type | Organization |
| Organization Name | ELITE PERITONEAL DIALYSIS OF MIAMI BEACH,LLC |
| Other Organization Name | ELITE PERITONEAL DIALYSIS OF MIAMI BEACH,LLC |
| Practice Address |
4302 Alton Rd 400 Miami Beach FL 33140-2891 |
| Practice Telephone | 3055311664 |
| Practice Fax Number | 9543918913 |
| Mailing Telephone | 3055311664 |
| Mailing Fax Number | 9543918913 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Authorized Official Name | MS. BETTY JEAN VERBAL (ADMINISTRATOR) |
| Authorized Official Telephone | 3053183169 |
| 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 |
FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Elite Peritoneal Dialysis Of Miami Beach,LLC | Former Legal Business Name - Organization |
| Street Address |
4302 ALTON RD 400 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140-2891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011970 | Ralph G Nader | Specialist | 4302 Alton Rd, Ste 220, Miami Beach, FL 33140-2891 | 2005-05-24 |
| 1679007546 | Lynhdiem Bui | Physician Assistant | 4302 Alton Rd, Suite 810, Miami Beach, FL 33140-2891 | 2017-04-17 |
| 1962941310 | Samantha Lehmann | Physician Assistant | 4302 Alton Rd, Suite 760, Miami Beach, FL 33140-2891 | 2017-02-17 |
| 1194170852 | Peritoneal Dialysis Center Inc | Clinic/Center | 4302 Alton Rd, Suite 400, Miami Beach, FL 33140-2891 | 2016-05-02 |
| 1881063493 | Viviana Andrea Martinez Galvis | Audiologist | 4302 Alton Rd, Suite 115, Miami Beach, FL 33140-2891 | 2015-09-24 |
| 1437549276 | Andrea Gold Schein | Internal Medicine | 4302 Alton Rd, Miami Beach, FL 33140-2891 | 2015-02-02 |
| 1568852549 | Danielle Duquesnay | Physician Assistant | 4302 Alton Rd, Suite 830, Miami Beach, FL 33140-2891 | 2015-01-29 |
| 1568851921 | Five Star Medical Center, Copr | Internal Medicine | 4302 Alton Rd, Suite 900, Miami Beach, FL 33140-2891 | 2015-01-22 |
| 1174921480 | Elite Health Mso, LLC | Internal Medicine | 4302 Alton Rd, Suite 300, Miami Beach, FL 33140-2891 | 2014-12-18 |
| 1720484447 | Erik Bustillo | Dietitian, Registered | 4302 Alton Rd, Suite 300, Miami Beach, FL 33140-2891 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| 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 |
|---|---|---|---|---|
| 1164796660 | Miami Beach Elite Dialysis | Clinic/Center | 714 W 51st St Ste 400, Miami Beach, FL 33140-2615 | 2012-03-01 |
| 1235410937 | Elite Dialysis of Miami Beach, LLC | Clinic/Center | 714 West 51 St., Miami Beach, FL 33140 | 2011-09-08 |
| 1376511618 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 1711 Alton Rd, Miami Beach, FL 33139-2411 | 2006-03-11 |
| 1659348779 | Total Renal Care Inc | Clinic/Center | 400 Arthur Godfrey Rd, Ste 402, Miami Beach, FL 33140-3516 | 2006-03-07 |
| 1194170852 | Peritoneal Dialysis Center Inc | Clinic/Center | 4302 Alton Rd, Suite 400, Miami Beach, FL 33140-2891 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
Please comment or provide details below to improve the information on ELITE PERITONEAL DIALYSIS OF MIAMI BEACH,LLC.
| 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.