Organization
PATOKA DIALYSIS LLC
Active
Other names
Deerfield Beach 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
1983 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-1418
(954) 426-3350
(954) 426-5275
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
—
010868500
—
FL
Enumeration date
12/12/2013
Last updated
03/27/2026
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