Organization
SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC
Active
Organization
SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC
Active
Other names
St Cloud Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
4750 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1430
(407) 498-0018
(407) 498-0881
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
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
—
892801100
—
FL
Enumeration date
11/09/2007
Last updated
01/12/2012
Update your record
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