Organization
SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS, LLC
Active
Other names
Auburndale Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
250 AVENUE K SW, STE 100, WINTER HAVEN, FL 33880-3919
(863) 291-8036
(863) 291-3814
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
—
107543000
—
FL
Enumeration date
10/31/2019
Last updated
07/22/2025
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