SUNCOAST DIALYSIS CENTER IMC. (NPI# 1326052267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326052267 |
| Entity Type | Organization |
| Organization Name | SUNCOAST DIALYSIS CENTER IMC. |
| Practice Address |
3500 E Fletcher Ave Suite 122 Tampa FL 33613-4708 |
| Practice Telephone | 8139723722 |
| Practice Fax Number | 8139720717 |
| Mailing Telephone | 8139723722 |
| Mailing Fax Number | 8139720717 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WALTER LAWRENCE WALSH JR. (PRESIDENT) |
| Authorized Official Telephone | 8139723722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
FL | Ambulatory Health Care Facilities |
| Street Address |
3500 E FLETCHER AVE SUITE 122 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366424129 | David L Joseph | Internal Medicine | 3500 E Fletcher Ave, Suite 218, Tampa, FL 33613-4708 | 2005-11-17 |
| 1649719238 | Tampa Bay Health Alliance, LLC | Preferred Provider Organization | 3500 E Fletcher Ave, Suite 400, Tampa, FL 33613-4708 | 2017-02-16 |
| 1144626128 | Veena Rattan M.d.p.a. | Clinic/Center | 3500 E Fletcher Ave, Tampa, FL 33613-4708 | 2014-11-18 |
| 1164760401 | Jamal Amin Brown | Pharmacist | 3500 E Fletcher Ave, Suite 133, Tampa, FL 33613-4708 | 2013-01-22 |
| 1023396694 | Tina Cheung Macias | Physical Therapist | 3500 E Fletcher Ave, Tampa, FL 33613-4708 | 2011-07-29 |
| 1174810725 | Summer Marie Young | Dentist | 3500 E Fletcher Ave, Suite 221, Tampa, FL 33613-4708 | 2011-07-05 |
| 1235428236 | Joel Brooks Counseling, Inc | Social Worker | 3500 E Fletcher Ave, Suite 129, Tampa, FL 33613-4708 | 2011-03-31 |
| 1720216773 | Kubly Ocular Prosthetics Inc | Prosthetic/Orthotic Supplier | 3500 E Fletcher Ave, Suite 509, Tampa, FL 33613-4793 | 2009-06-29 |
| 1881866127 | Tina E Williams | Social Worker | 3500 E Fletcher Ave, Suite 129, Tampa, FL 33613-4708 | 2008-03-27 |
| 1104013507 | Tampa Renal Physicians Pl | Internal Medicine | 3500 E Fletcher Ave, Suite 218, Tampa, FL 33613-4708 | 2007-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| 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 |
|---|---|---|---|---|
| 1720622574 | Fresenius Medical Care Tampa, LLC | Clinic/Center | 4602 N Armenia Ave Bldg B, Tampa, FL 33603-2626 | 2019-11-05 |
| 1932677838 | Bayfield Dialysis LLC | Clinic/Center | 6222 Harney Rd, Tampa, FL 33610-5500 | 2018-11-08 |
| 1437673407 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5951 Webb Rd, Tampa, FL 33615-3219 | 2017-08-01 |
| 1952771313 | Starks Dialysis LLC | Clinic/Center | 2301 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2015-09-29 |
| 1922477017 | Starks Dialysis, LLC | Clinic/Center | 2301 Martin Luther King Jr Blvd, Tampa, FL 33606 | 2015-09-18 |
| 1033599766 | Dsi Lutz, LLC | Clinic/Center | 3421 N Lakeview Dr, Tampa, FL 33618-4910 | 2015-06-08 |
| 1871971556 | Brache Dialysis LLC | Clinic/Center | 2205 W Kennedy Blvd, Tampa, FL 33606-1536 | 2015-05-13 |
| 1275810905 | Mammoth Dialysis LLC | Clinic/Center | 14358 N Dale Mabry Hwy, Tampa, FL 33618-2018 | 2011-11-09 |
| 1518196252 | Total Renal Care Inc | Clinic/Center | 10770 N 46th St Ste A100, Tampa, FL 33617-3465 | 2009-07-02 |
| 1629250857 | Bio Medical Applications | Clinic/Center | 5625 W Waters Ave Ste A, Tampa, FL 33634-1226 | 2007-11-29 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on SUNCOAST DIALYSIS CENTER IMC..
| 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.