Organization
SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC
Active
Other names
Kissimmee Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1203 N CENTRAL AVE, STE A, KISSIMMEE, FL 34741-4407
(407) 518-9232
(407) 518-9350
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
—
009336600
—
FL
Enumeration date
03/30/2012
Last updated
04/10/2025
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