5072020, LLC


Address: 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362
Phone: 2397911747

5072020, LLC (NPI# 1538773411) 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) 1538773411
Entity Type Organization
Organization Name 5072020, LLC
Practice Address 2675 Winkler Ave Ste 130
Fort Myers
FL 33901-9362
Mailing Address Po Box 251549
Plano
TX 75025-1500
Practice Telephone 2397911747
Enumeration Date 2020-09-08
Last Update Date 2020-09-08
Authorized Official Name THOMAS L WEINBERG (CHAIRMAN)
Authorized Official Telephone 2147362700
Is Organization Subpart Y
Parent Organization Name U.S. RENAL CARE, INC.

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

Office Location

Street Address 2675 WINKLER AVE STE 130
City FORT MYERS
State FL
Zip Code 33901-9362

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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...

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NPI Name Taxonomy Address Enumeration
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1114994688 Dva Healthcare Renal Care Inc Clinic/Center 8850 Gladiolus Dr, Fort Myers, FL 33908-5102 2006-03-03
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1497867246 Bio-medical Applications of Florida, Inc. Clinic/Center 9400 Gladiolus Dr, Suite 200, Fort Myers, FL 33908-3692 2006-08-31

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1124640263 Arc Dialysis Westchester LLC Clinic/Center 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 2020-05-12
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Competitor

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City FORT MYERS
Zip Code 33901

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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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