Organization
CODONA DIALYSIS, LLC
Active
Parent organization
DAVITA INC
Other names
Manatee Bay Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
109 44TH AVE E STE 100, BRADENTON, FL 34203-3640
(615) 320-4283
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
11/14/2025
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