Organization
CANNEY DIALYSIS LLC
Active
Other names
County Line 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
21353 NW 2ND AVE, MIAMI GARDENS, FL 33169-2112
(305) 654-2724
(305) 654-0433
Mailing address
5200 VIRGINIA WAY, ATT: 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
Enumeration date
04/20/2018
Last updated
03/07/2025
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