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Organization

LOURDES DIALYSIS LLC

Active
Other names
Clarcona 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
8259 CLARCONA OCOEE RD, ORLANDO, FL 32818-1228
(407) 299-2173
(407) 299-7673
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
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101945100
FL
Enumeration date
02/23/2018
Last updated
02/17/2026
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