DIALYSIS SER CENTRAL FLORIDA LLC


Address: 4970 South 17-92, Casselberry, FL 32730
Phone: 6154670136

DIALYSIS SER CENTRAL FLORIDA LLC (NPI# 1336264472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336264472
Entity Type Organization
Organization Name DIALYSIS SER CENTRAL FLORIDA LLC
Other Organization Name CASSELBERRY DSCF
Practice Address 4970 South 17-92
Casselberry
FL 32730
Mailing Address 511 Union St
Suite 1800
Nashville
TN 37219-1733
Practice Telephone 6154670136
Practice Fax Number 6152342422
Mailing Telephone 6154670134
Mailing Fax Number 6152342422
Enumeration Date 2007-03-20
Last Update Date 2007-11-06
Authorized Official Name MRS. GRETCHEN K BARR (VP OF REIMBURSEMENT)
Authorized Official Telephone 6154670134
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Casselberry DSCF Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417072547 Dialysis Ser Central Florida LLC Clinic/Center 4100 Metric Drive, Suite 300, Winter Park, FL 32792 2007-03-20
1235173006 Dialysis Ser Central Florida LLC Clinic/Center 640 Executive Park, Apopka, FL 32703 2006-06-15
1285607200 Dialysis Ser Central Florida LLC Clinic/Center 2501 N Orange Ave, Ste 537n, Orlando, FL 32804 2006-02-09

Office Location

Street Address 4970 SOUTH 17-92
City CASSELBERRY
State FL
Zip Code 32730

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1841763422 Kenneth David Culbertson Behavior Technician 501 Macaw Ln Apt 4, Fern Park, FL 32730 2019-01-07
1891290003 Francis Corina Hoffmann Dentist 515 State 436, Suite 1000, Casselberry, FL 32730 2018-03-28
1275991515 Volition Group Corp Pharmacy 125 Sr 436, Fern Park, FL 32730 2016-02-01
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1265533483 Steven W. Myers Pharmacist 7800 Us Hwy 17-92 Unit 160, Winn-dixie, Fern Park, FL 32730 2006-09-26
1073028601 Candace Johnson Counselor 237 Fernwood Blvd, Fern Park, FL 32730 2017-12-05
1659713485 Mina Mikhail Chiropractor 2601 Wells Ave Ste 121, Fern Park, FL 32730-2000 2013-07-22
1598134181 Mikhail Family Chiropractic & Sports Rehabilitation Center, LLC Chiropractor 2601 Wells Ave Ste 121, Fern Park, FL 32730-2000 2015-09-24
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740812726 Fresenius Medical Care Casselberry, LLC Clinic/Center 174 State Road 436 Ste D102, Casselberry, FL 32707-4203 2020-02-07
1477957835 Nxstage Orlando North, LLC Clinic/Center 174 State Road 436 Unit D102, Casselberry, FL 32707-4203 2014-10-14
1376781989 Total Renal Care Inc Clinic/Center 4970 S Us Highway 17/92, Casselberry, FL 32707-3888 2009-02-04

Providers in the same taxonomy and state

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
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Competitor

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City CASSELBERRY
Zip Code 32730

Improve Information

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Dataset Information

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.

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