Organization
TRIVENO DIALYSIS, LLC
Active
Other names
Big Lake 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
3240 US HIGHWAY 441 S, OKEECHOBEE, FL 34974-6239
(863) 824-0225
(863) 824-0226
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115951300
—
FL
Enumeration date
07/18/2022
Last updated
11/17/2025
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