SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS, LLC


Address: 1998 E Osceola Pkwy, Kissimmee, FL 34743-8600
Phone: 4073481271

SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS, LLC (NPI# 1003229766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003229766
Entity Type Organization
Organization Name SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS, LLC
Other Organization Name BUENA VENTURA LAKES DIALYSIS
Practice Address 1998 E Osceola Pkwy
Kissimmee
FL 34743-8600
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 4073481271
Practice Fax Number 4073481407
Mailing Telephone 6153204593
Mailing Fax Number 8002935872
Enumeration Date 2014-06-10
Last Update Date 2019-01-10
Authorized Official Name JAMES K. HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 014224600 05

Other Provider/Organization Names

Other Name Type Code
Buena Ventura Lakes Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710521943 South Central Florida Dialysis Partners, LLC Clinic/Center 2500 Trafalgar Blvd, Kissimmee, FL 34758-2552 2019-10-31
1235773474 South Central Florida Dialysis Partners, LLC Clinic/Center 250 Avenue K Sw Ste 100, Winter Haven, FL 33880-3919 2019-10-31

Office Location

Street Address 1998 E OSCEOLA PKWY
City KISSIMMEE
State FL
Zip Code 34743-8600

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740844711 Orlando Health Services At Central Florida LLC Nurse Practitioner 2685 Maxwell Ct W, Kissimmee, FL 34743 2019-04-25
1104316751 Melissa Lymari Martinez Case Manager/Care Coordinator 139 Puelba Ln, Kissimmee, FL 34743 2018-05-18
1083087886 Brenda Torres Social Worker 2203 Gatwick Ct., Kissimmee, FL 34743 2015-11-03
1629473582 Catalina Lasso Counselor 2005 Lacie Jo Ln, Kissimmee, FL 34743 2014-11-04
1114326584 Alexandra Buxo Social Worker 2182 Cypress Bay Blvd, Kissimmee, FL 34743 2014-08-21
1558609040 Ana Paula Machado Bernardi Pharmacist 2005 E Osceola Pkwy, Kissimmee, FL 34743 2013-01-18
1093075954 Lynda A Gonsalves Counselor 220 N Lake Ct, Kissimmee, FL 34743 2012-05-24
1912264805 Mario E Perez Occupational Therapist 2517 Hikers Ct, Kissimmee, FL 34743 2012-04-16
1003118555 Alvaro Jose Altamirano Family Medicine 729 Buenaventura Blvd, Kissimmee, FL 34743 2010-12-02
1891929402 Federico Nicholas Physical Therapy Assistant 1441 Fortune Rd, #256, Kissimmee, FL 34743 2009-05-11
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710521943 South Central Florida Dialysis Partners, LLC Clinic/Center 2500 Trafalgar Blvd, Kissimmee, FL 34758-2552 2019-10-31
1609273887 Florida Dialysis Center of Celebration LLC Clinic/Center 5051 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-5345 2014-12-03
1992071245 South Central Florida Dialysis Partners LLC Clinic/Center 1203 N Central Ave, Ste A, Kissimmee, FL 34741-4407 2012-03-30
1538487897 South Central Florida Dialysis Partners LLC Clinic/Center 1002 Cypress Pkwy, Kissimmee, FL 34759-3328 2010-05-12
1609843010 South Central Florida Dialysis Partners LLC Clinic/Center 802 N John Young Parkway, Kissimmee, FL 34741-4912 2006-03-03
1043287550 South Central Florida Dialysis Partners LLC Clinic/Center 1154 Celebration Blvd, Kissimmee, FL 34747-4605 2006-03-02
1154799948 Sunapee Dialysis LLC Clinic/Center 802 N John Young Pkwy, Kissimmee, FL 34741-4912 2015-09-10
1184092116 Sunapee Dialysis LLC Clinic/Center 1154 Celebration Blvd, Kissimmee, FL 34747-4605 2015-09-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801496104 Kidney Care Center of Winter Haven LLC Clinic/Center 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 2020-10-27
1538773411 5072020, LLC Clinic/Center 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 2020-09-08
1750992814 Swain Dialysis Renal Center Clinic/Center 1923 Nw 43rd St, Miami, FL 33142-4777 2020-08-12
1396355525 Kidney Partners Coral Gables LLC Clinic/Center 835 Sw 37th Ave, Miami, FL 33135-4289 2020-08-03
1427668870 Dialysis Spa, LLC Clinic/Center 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 2020-07-31
1285250522 Fresenius Medical Care Casselberry, LLC Clinic/Center 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 2020-06-23
1992321244 Fresenius Medical Care Casselberry, LLC Clinic/Center 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 2020-06-23
1023630886 Fresenius Medical Care Apollo Beach, LLC Clinic/Center 3002 E College Ave, Ruskin, FL 33570-5220 2020-05-14
1124640263 Arc Dialysis Westchester LLC Clinic/Center 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 2020-05-12
1487274734 Bio-medical Applications of Florida, Inc. Clinic/Center 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 2020-04-16
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Competitor

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City KISSIMMEE
Zip Code 34743

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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