Organization
BONISTER DIALYSIS, LLC
Active
Other names
Oslo 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
100 S US HIGHWAY 1, VERO BEACH, FL 32962-3630
(772) 567-8496
(772) 562-5735
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
—
023291400
—
FL
Enumeration date
06/09/2016
Last updated
02/25/2026
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