Organization
LOURDES DIALYSIS LLC
Active
Other names
Alafaya 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
12001 SCIENCE DR, STE 110, ORLANDO, FL 32826-2913
(407) 282-8202
(407) 208-9391
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383100
—
FL
Enumeration date
02/20/2017
Last updated
07/14/2025
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