LAKE CLARKE SHORES DIALYSIS CENTER, LLC (NPI# 1215269923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215269923 |
| Entity Type | Organization |
| Organization Name | LAKE CLARKE SHORES DIALYSIS CENTER, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE LAKE CLARKE SHORES DIALYSIS CENTER |
| Practice Address |
3047 Forest Hill Blvd West Palm Beach FL 33406-5908 |
| Practice Telephone | 5616419611 |
| Practice Fax Number | 5616419612 |
| Mailing Telephone | 5616419611 |
| Mailing Fax Number | 5616419612 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 Name | Type Code |
|---|---|
| Fresenius Medical Care Lake Clarke Shores Dialysis Center | Doing Business As Name - Organization |
| Street Address |
3047 FOREST HILL BLVD |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33406-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417968082 | Robert J Aprile | Chiropractor | 3047 Forest Hill Blvd, #42, West Palm Beach, FL 33406-5908 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092736 | Meylin Hernadez Sr. | Behavior Technician | 4208 Palm Bay Cir Aprto, West Palm Beach, FL 33406 | 2020-10-29 |
| 1891358651 | Rosa Iris Rivera | Internal Medicine | 4068-1 Forest Hill Blvd, West Palm Beach, FL 33406 | 2019-04-17 |
| 1043799232 | Zobeyda Fernandez Andrain | Behavior Technician | 1475 Forest Hill Blvd., #1, West Palm Beach, FL 33406 | 2018-08-09 |
| 1942793807 | Good Samaritan Physio-therapy, LLC | Clinic/Center | 2393 South Congress Ave Suite 125, West Palm Beach, FL 33406 | 2018-06-14 |
| 1265921050 | Rosaura Vasquez | Occupational Therapy Assistant | 2393 S. Congress Av. Suite 130, West Palm Beach, FL 33406 | 2018-05-07 |
| 1124528427 | Margarette Leandre | Nurse Practitioner | 2640 Forest Hill Boulevard, West Palm Beach, FL 33406 | 2018-02-14 |
| 1689188401 | Trinity Care Alf | Assisted Living Facility | 1298 Victoria Drive, West Palm Beach, FL 33406 | 2017-12-01 |
| 1730698762 | Nelsa Paulina Zorrilla | Behavioral Analyst | 4008 Palm Bay Circle Unit D, West Palm Beach, FL 33406 | 2017-09-21 |
| 1710405352 | Pure Dental Care,p.a. | Dentist | 2326 South Congress Avenue, West Palm Beach, FL 33406 | 2017-09-05 |
| 1063938629 | William Antwon Johnson | Behavioral Analyst | 1815 Forest Hill, . Lake Clark Shores, FL 33406 | 2017-08-16 |
| Find all providers in zip 33406 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881135564 | Palm Springs Dialysis Center LLC | Clinic/Center | 1890 S Military Trl, West Palm Beach, FL 33415-6404 | 2017-03-15 |
| 1295752095 | West Palm Dialysis, LLC | Clinic/Center | 1522 N Dixie Hwy, West Pal Dialysis, LLC - Ckd Services, West Palm Beach, FL 33401-2720 | 2006-07-16 |
| 1366419822 | Total Renal Care Inc | Clinic/Center | 2611 Poinsettia Ave, West Palm Beach, FL 33407 | 2006-03-03 |
| 1013482215 | Pure Life Renal of West Palm Beach, LLC | Clinic/Center | 1522 N Dixie Hwy, West Palm Beach, FL 33401-2720 | 2018-10-04 |
| 1104268325 | Continental Dialysis Care Center LLC | Clinic/Center | 2000 Continental Dr, Suite A, West Palm Beach, FL 33407-3207 | 2013-07-30 |
| 1154642932 | Renal Carepartners of West Palm Beach LLC | Clinic/Center | 300 Executive Center Dr, Suite 101, West Palm Beach, FL 33401-4842 | 2010-06-16 |
| 1912144023 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 1522 N Dixie Hwy, Ckd Services of Rcg W. Palm Beach, West Palm Beach, FL 33401-2720 | 2009-01-12 |
| 1285802843 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 2000 Continental Dr, Ste. A Ckd Services of West Palm Beach, West Palm Beach, FL 33407-3207 | 2008-02-18 |
| 1780786079 | West Palm Dialysis, LLC | Clinic/Center | 1522 N Dixie Hwy, West Palm Beach, FL 33401-2720 | 2006-09-05 |
| 1619079092 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2000 Continental Dr, Suite A, West Palm Beach, FL 33407-3207 | 2006-09-05 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33406 |
Please comment or provide details below to improve the information on LAKE CLARKE SHORES DIALYSIS CENTER, LLC.
| 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.