PERITONEAL DIALYSIS SUPPLY, LLC (NPI# 1275526113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275526113 |
| Entity Type | Organization |
| Organization Name | PERITONEAL DIALYSIS SUPPLY, LLC |
| Practice Address |
1964 Bayshore Blvd Suite C Dunedin FL 34698-2576 |
| Mailing Address |
1964 Bayshore Blvd Suite C Dunedin FL 34698-2576 |
| Practice Telephone | 7277385255 |
| Practice Fax Number | 7277330431 |
| Mailing Telephone | 7277385255 |
| Mailing Fax Number | 7277330431 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MRS. JUNE A. CLARK (BUSINESS MANAGER) |
| Authorized Official Telephone | 7277385255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
FL | Suppliers |
| Street Address |
1964 BAYSHORE BLVD SUITE C |
| City | DUNEDIN |
| State | FL |
| Zip Code | 34698-2576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508897745 | Kidney Institute of Tuscaloosa, LLC | Clinic/Center | 1964 Bayshore Blvd, Suite C, Dunedin, FL 34698-2576 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245711803 | Surgcenter Clearwater, LLC | Clinic/Center | 980 Milwaukee Avenue, Dunedin, FL 34698 | 2018-08-22 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| 1487168506 | Dunedin Chiropractic Inc | Chiropractor | 1059 Broadway Suite C, Dunedin, FL 34698 | 2017-11-28 |
| 1578072039 | Changesu | Clinic/Center | 998 Emerson Drive, Dunedin, FL 34698 | 2017-09-27 |
| 1144680042 | Diane Chonacki | Social Worker | 1835 Santa Barbara Dr, Dunedin, FL 34698 | 2016-03-04 |
| 1801201157 | Beverly Sorrells | Acupuncturist | 595 Main Street, Suite 201, Dunedin, FL 34698 | 2014-06-25 |
| 1215275623 | Izabela Kowal | Internal Medicine | 1460 Beltrees St Ste 1, Dunedin, FL 34698 | 2013-01-18 |
| 1588923346 | Kim T Rohr, Dc Pa | Chiropractor | 1000 Bass Blvd, Dunedin, FL 34698 | 2012-05-14 |
| 1235437500 | Caryn Daley Mcclintock | Registered Nurse | 1930 Dunloe Circle, Dunedin, FL 34698 | 2011-03-10 |
| 1295043073 | Chmiel Corp | Assisted Living Facility | 3240 Cr #1, Dunedin, FL 34698 | 2010-09-15 |
| Find all providers in zip 34698 | ||||
| Taxonomy Code | 332BD1200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Dialysis Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144687195 | Destiny Alliance Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1490 Nw 3rd Ave, Suite 110, Miami, FL 33136-1838 | 2016-01-21 |
| 1114214293 | American Health Innovations, Inc. | Durable Medical Equipment & Medical Supplies | 17 Royal Palm Way, Suite 106, Boca Raton, FL 33432 | 2011-07-08 |
| 1902051337 | Future Advance Corp | Durable Medical Equipment & Medical Supplies | 1490 W 49th Pl Ste 555, Hialeah, FL 33012-8135 | 2008-11-26 |
| 1659563823 | Pdarby of Florida Inc | Durable Medical Equipment & Medical Supplies | 1306 Lake Lucerne Way, Ste 303, Brandon, FL 33511-2293 | 2007-08-13 |
| 1538387212 | Lifeline Healthcare Services Inc | Durable Medical Equipment & Medical Supplies | 4960 Sw 52nd St, # 407-408, Davie, FL 33314-5530 | 2007-04-20 |
| 1720133903 | Vlla and Rent Solution Inc | Durable Medical Equipment & Medical Supplies | 6500 Nw 72nd Ave, #202, Miami, FL 33166-3629 | 2007-01-25 |
| 1538188792 | Bradenton Medical Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4802 Grand Blvd, New Port Richey, FL 34652-5106 | 2006-07-19 |
| 1215953500 | Orion Medical Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 19559 Ne 10th Ave, North Miami Beach, FL 33179-3501 | 2006-07-14 |
| 1093746810 | Kidney Kare, Inc. | Durable Medical Equipment & Medical Supplies | 326 East Dania Beach Blvd., Dania, FL 33004 | 2006-07-06 |
| 1245856475 | Your Way Rx LLC | Durable Medical Equipment & Medical Supplies | 1495 Forest Hill Blvd Ste G, West Palm Beach, FL 33406-6073 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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| 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.