SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC (NPI# 1972751394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972751394 |
Entity Type | Organization |
Organization Name | SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC |
Other Organization Name | WINTER GARDEN DIALYSIS |
Practice Address |
1222 Winter Garden Vineland Rd Bldg 3 Ste 100 Winter Garden FL 34787-4449 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 4078770364 |
Practice Fax Number | 4078773641 |
Mailing Telephone | 6153204593 |
Mailing Fax Number | 8002935872 |
Enumeration Date | 2008-08-28 |
Last Update Date | 2019-03-05 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
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 |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 001022500 | 05 |
Other Name | Type Code |
---|---|
Winter Garden Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689126757 | South Central Florida Dialysis Partners LLC | Clinic/Center | 5778 S Semoran Blvd Ste A, Orlando, FL 32822-4819 | 2016-10-25 |
1992071245 | South Central Florida Dialysis Partners LLC | Clinic/Center | 1203 N Central Ave, Ste A, Kissimmee, FL 34741-4407 | 2012-03-30 |
1538487897 | South Central Florida Dialysis Partners LLC | Clinic/Center | 1002 Cypress Pkwy, Kissimmee, FL 34759-3328 | 2010-05-12 |
1538316617 | South Central Florida Dialysis Partners LLC | Clinic/Center | 5397 W Colonial Dr, Ste 120, Orlando, FL 32808-7647 | 2008-08-20 |
1245410091 | South Central Florida Dialysis Partners LLC | Clinic/Center | 4750 Old Canoe Creek Rd, Saint Cloud, FL 34769-1430 | 2007-11-09 |
1801864459 | South Central Florida Dialysis Partners LLC | Clinic/Center | 14050 Town Loop Blvd, Ste 104a, Orlando, FL 32837-6190 | 2006-03-09 |
1609843010 | South Central Florida Dialysis Partners LLC | Clinic/Center | 802 N John Young Parkway, Kissimmee, FL 34741-4912 | 2006-03-03 |
1043287550 | South Central Florida Dialysis Partners LLC | Clinic/Center | 1154 Celebration Blvd, Kissimmee, FL 34747-4605 | 2006-03-02 |
1952809758 | South Central Florida Dialysis Partners LLC | Clinic/Center | 4578 S Kirkman Rd, Orlando, FL 32811-2848 | 2018-01-26 |
1063841492 | South Central Florida Dialysis Partners LLC | Clinic/Center | 1552 Boren Dr, Ste 100, Ocoee, FL 34761-4216 | 2013-11-06 |
Street Address |
1222 WINTER GARDEN VINELAND RD BLDG 3 STE 100 |
City | WINTER GARDEN |
State | FL |
Zip Code | 34787-4449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144775255 | Gretell Ivelyn Jaspe | Occupational Therapist | 1222 Winter Garden Vineland Rd, Winter Garden, FL 34787-4449 | 2016-08-18 |
1639529969 | Beth Amato Pekar | Speech-Language Pathologist | 1222 Winter Garden Vineland Rd, Winter Garden, FL 34787-4449 | 2016-06-17 |
1336528488 | Bethanne Spence | Occupational Therapist | 1222 Winter Garden Vineland Rd, Winter Garden, FL 34787-4449 | 2015-05-21 |
1881030690 | Anastasia Campo | Speech-Language Pathologist | 1222 Winter Garden Vineland Rd, Ste 108, Winter Garden, FL 34787-4449 | 2013-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
Find all providers in zip 34787 |
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 |
---|---|---|---|---|
1366925646 | Total Renal Care Inc | Clinic/Center | 1210 E Plant St Ste 1202, Winter Garden, FL 34787-2996 | 2018-09-12 |
1063941565 | Prime Dialysis, LLC | Clinic/Center | 12200 West Colonial Drive, Suite 102, Winter Garden, FL 34787 | 2017-06-08 |
1174902779 | West Orange Winter Garden Dialysis Center LLC | Clinic/Center | 1210 E Plant St Ste 130, Winter Garden, FL 34787-2995 | 2015-05-28 |
1841283504 | Central Florida Kidney Centers Inc | Clinic/Center | 741 S Dillard St, Winter Garden, FL 34787-3907 | 2005-08-29 |
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 | WINTER GARDEN |
Zip Code | 34787 |
Please comment or provide details below to improve the information on SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS 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.