Organization
SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC
Active
Other names
Poinciana 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
1002 CYPRESS PKWY, KISSIMMEE, FL 34759-3328
(321) 697-5658
(321) 697-5435
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
—
003441400
—
FL
Enumeration date
05/12/2010
Last updated
05/28/2025
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