Organization
TALIMENA DIALYSIS LLC
Active
Other names
Golden Glades Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY AO (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
15600 NW 15TH AVE, STE D, MIAMI GARDENS, FL 33169-5609
(305) 621-1328
(305) 621-6272
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
—
012597300
—
FL
Enumeration date
10/03/2013
Last updated
12/07/2023
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