FRESENIUS MEDICAL CARE FOUR CORNERS, LLC (NPI# 1477017515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477017515 |
Entity Type | Organization |
Organization Name | FRESENIUS MEDICAL CARE FOUR CORNERS, LLC |
Practice Address |
503 Cagan View Rd Ste 300 Clermont FL 34714 |
Practice Telephone | 3523943003 |
Practice Fax Number | 3522432350 |
Mailing Telephone | 3523943003 |
Mailing Fax Number | 3522432350 |
Enumeration Date | 2019-01-23 |
Last Update Date | 2019-01-23 |
Authorized Official Name | MARK R FAWCETT (SVP & TREASURER) |
Authorized Official Telephone | 7816999000 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
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 Name | Type Code |
---|---|
Fresenius Kidney Care Four Corners | Doing Business As Name - Organization |
Street Address |
503 CAGAN VIEW RD STE 300 |
City | CLERMONT |
State | FL |
Zip Code | 34714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255803771 | Natalia M Soto- Robles | Case Manager/Care Coordinator | 2624 Duncan Trail, Kissimmee, FL 34714 | 2018-12-21 |
1487145249 | Arelis Negron | Early Intervention Provider Agency | 4408 Blue Mesa Ct., Clermont, FL 34714 | 2018-05-28 |
1164931945 | Lisa Hernandez | Behavior Technician | 3232 Callerton Rd, Clermont, FL 34714 | 2017-09-25 |
1356879100 | Jacquelyn Giglio | Speech-Language Pathologist | 1050 Highway 27 Suite 9, Clermont, FL 34714 | 2017-05-24 |
1518367192 | Michael Edward Gilman | Clinic/Center | 221 Frontage Road, Suite A, Clermont, FL 34714 | 2014-09-02 |
1255776175 | Yeimi Larios | Occupational Therapy Assistant | 2938 State Road 33, Clermont, FL 34714 | 2013-05-06 |
1598979122 | Carla Talavera-jordan D.m.d., P.a. | Dentist | 533 Cagan Park Ave, Suite 307, Clermont, FL 34714 | 2007-05-10 |
1346467339 | Doris Cruz | Dentist | 1100 Us Highway 27, Suite D, Clermont, FL 34714 | 2007-04-19 |
1003816570 | Ntc Urgent Care Centers,llc | Clinic/Center | 1503 Sunrise Plaza Drive, Clermont, FL 34714 | 2005-07-27 |
1518491695 | Yamille Feliciano Aponte | Counselor | 221 Frontage Road, Suite A, Clermont, FL 34714 | 2017-04-17 |
Find all providers in zip 34714 |
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 |
---|---|---|---|---|
1205341120 | Wisner Dialysis LLC | Clinic/Center | 1350 N Hancock Rd, Clermont, FL 34711-0000 | 2017-12-14 |
1467902296 | Clermont Dialysis Center LLC | Clinic/Center | 1625 Hancock Rd, Clermont, FL 34711-7667 | 2016-10-05 |
1194009910 | Bio-medical Applications of Florida Inc. | Clinic/Center | 17319 Pagonia Dr Bldg P, Unit 115, Clermont, FL 34711-5971 | 2011-09-29 |
1093294548 | Lourdes Dialysis LLC | Clinic/Center | 1350 N Hancock Rd, Clermont, FL 34711-5952 | 2018-08-07 |
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 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE FOUR CORNERS, 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.