Organization
WESTON DIALYSIS CENTER LLC
Active
Other names
Weston Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2685 EXECUTIVE PARK DR, STE 1, WESTON, FL 33331-3651
(954) 389-1290
(954) 384-8207
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
—
8913447 00
—
FL
Enumeration date
03/11/2006
Last updated
04/08/2026
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