CENTRAL FLORIDA KIDNEY CENTERS INC (NPI# 1578569109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578569109 |
Entity Type | Organization |
Organization Name | CENTRAL FLORIDA KIDNEY CENTERS INC |
Other Organization Name | NORTH MELBOURNE DIALYSIS |
Practice Address |
14 Suntree Pl Ste 102 Melbourne FL 32940-7605 |
Mailing Address |
203 Ernestine Street Central Florida Kidney Centers, Inc. Orlando FL 32801-3621 |
Practice Telephone | 3212539033 |
Practice Fax Number | 3212538632 |
Mailing Telephone | 4078436110 |
Mailing Fax Number | 4074251526 |
Enumeration Date | 2005-06-28 |
Last Update Date | 2019-09-10 |
Authorized Official Name | MR. DENNIS BUHRING (CEO) |
Authorized Official Telephone | 4078436110 |
Is Organization Subpart | Y |
Parent Organization Name | CENTRAL FLORIDA KIDNEY CENTERS, 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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003586800 | 05 | |
FL | 212490400 | 05 |
Other Name | Type Code |
---|---|
NORTH MELBOURNE DIALYSIS | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942679667 | Central Florida Kidney Centers Inc | Clinic/Center | 401 S Chickasaw Trl, Orlando, FL 32825-7803 | 2015-09-23 |
1942293691 | Central Florida Kidney Centers Inc | Clinic/Center | 203 Ernestine St, Orlando, FL 32801-3621 | 2005-08-29 |
1841283504 | Central Florida Kidney Centers Inc | Clinic/Center | 741 S Dillard St, Winter Garden, FL 34787-3907 | 2005-08-29 |
1831182583 | Central Florida Kidney Centers Inc | Clinic/Center | 4407 Vineland Road, Suite D-2, Orlando, FL 32811-7225 | 2005-08-29 |
1891788550 | Central Florida Kidney Centers Inc | Clinic/Center | 14522 Landstar Blvd, Unit 108, Orlando, FL 32824-6450 | 2005-08-29 |
1902899578 | Central Florida Kidney Centers Inc | Clinic/Center | 745 W State Road 434, Suite A, Longwood, FL 32750-4909 | 2005-08-29 |
1245236876 | Central Florida Kidney Centers Inc | Clinic/Center | 1400 S Apollo Blvd, Melbourne, FL 32901-3145 | 2005-06-28 |
1952307589 | Central Florida Kidney Centers Inc | Clinic/Center | 220 Medplex Pkwy Ne, Palm Bay, FL 32907-2560 | 2005-06-28 |
1710928924 | Central Florida Kidney Centers Inc | Specialist | 203 Ernestine St, Orlando, FL 32801-3621 | 2006-06-09 |
Street Address |
14 SUNTREE PL STE 102 |
City | MELBOURNE |
State | FL |
Zip Code | 32940-7605 |
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1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
Find all providers in zip 32940 |
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 |
---|---|---|---|---|
1821380593 | Bio-medical Applications of Florida Inc. | Clinic/Center | 2200 W Eau Gallie Blvd Ste 202a, Melbourne, FL 32935-3166 | 2011-05-12 |
1891807640 | Brevard County Dialysis, LLC | Clinic/Center | 1355 Palm Bay Rd, Melbourne, FL 32905-3838 | 2006-08-31 |
1104893221 | Dva Renal Healthcare, Inc. | Clinic/Center | 2235 S Babcock St, Melbourne, FL 32901 | 2006-03-07 |
1104823731 | Melbourne Kidney Center Inc | Clinic/Center | 280 N Wickham Rd, Melbourne, FL 32935-8650 | 2005-06-28 |
1245236876 | Central Florida Kidney Centers Inc | Clinic/Center | 1400 S Apollo Blvd, Melbourne, FL 32901-3145 | 2005-06-28 |
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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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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.