Organization
DIALYSIS SER CENTRAL FLORIDA LLC
Active
Other names
Home Dialysis DSCF
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY D YOUELL MD (OWNER MANAGER)
(407) 894-4693
Entity
Organization
Contact information
Practice address
2501 N ORANGE AVE, STE 537N, ORLANDO, FL 32804
(407) 515-2200
(407) 515-2210
Mailing address
511 UNION ST, STE 1800, NASHVILLE, TN 37219
(615) 467-0134
(615) 234-2422
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
01
—
VJ6
BCBS
FL
Enumeration date
02/09/2006
Last updated
02/05/2008
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