Organization
YBOR CITY DIALYSIS LLC
Active
Other names
Greater Tampa at Home
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4204 N MACDILL AVE, STE 1B, NORTH BLDG, TAMPA, FL 33607-6364
(813) 872-8216
(813) 872-8469
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001586100
—
FL
Enumeration date
03/05/2008
Last updated
02/03/2026
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