Organization
LOURDES DIALYSIS LLC
Active
Organization
LOURDES DIALYSIS LLC
Active
Other names
Oviedo 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
7560 RED BUG LAKE RD, STE 1048, OVIEDO, FL 32765-6591
(407) 366-0211
(407) 366-4269
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
—
011972000
—
FL
Enumeration date
09/26/2013
Last updated
09/05/2025
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