Organization
SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC
Active
Other names
Orlando Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
5397 W COLONIAL DR, STE 120, ORLANDO, FL 32808-7647
(407) 532-3109
(407) 532-4881
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
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
—
001533000
—
FL
Enumeration date
08/20/2008
Last updated
03/03/2021
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