Organization
SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC
Active
Other names
Orlando Airport 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
5778 S SEMORAN BLVD STE A, ORLANDO, FL 32822-4819
(407) 282-3835
(407) 282-9520
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
—
021930300
—
FL
Enumeration date
10/25/2016
Last updated
10/07/2024
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