FRESENIUS MEDICAL CARE TAMPA, LLC (NPI# 1366908691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366908691 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE TAMPA, LLC |
| Other Organization Name | BMA OF TAMPA |
| Practice Address |
3614 W Kennedy Blvd Tampa FL 33609-2852 |
| Practice Telephone | 8138720933 |
| Practice Fax Number | 8138720519 |
| Mailing Telephone | 8138720933 |
| Mailing Fax Number | 8138720519 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | MR. JAMES DIVITO (VICE PRESIDENT) |
| 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 |
|---|---|
| BMA of Tampa | Doing Business As Name - Organization |
| 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 |
| 1134685506 | Fresenius Medical Care Tampa, LLC | Clinic/Center | 5951 Webb Rd, Tampa, FL 33615-3219 | 2019-02-11 |
| 1003371592 | Fresenius Medical Care Tampa, LLC | Clinic/Center | 4553 Gunn Hwy, Tampa, FL 33624-6311 | 2019-02-08 |
| Street Address |
3614 W KENNEDY BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942318191 | Janice Alexandra Summers | Family Medicine | 3614 W Kennedy Blvd, Suite B, Tampa, FL 33609-2852 | 2006-08-28 |
| 1255876447 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 3614 W Kennedy Blvd, Suite A, Tampa, FL 33609-2852 | 2016-12-27 |
| 1073938445 | Advanced Medical Pharmacy | Clinic/Center | 3614 W Kennedy Blvd, Suite C, Tampa, FL 33609-2852 | 2014-02-21 |
| 1346544954 | Advanced Wholesale Pharmcay, Inc | Pharmacy | 3614 W Kennedy Blvd, Ste C, Tampa, FL 33609-2852 | 2010-12-23 |
| 1114258043 | South Tampa Medical Associates Inc | Internal Medicine | 3614 W Kennedy Blvd, Suite B, Tampa, FL 33609-2852 | 2010-01-15 |
| 1750582003 | Kristen J Smith | Nurse Practitioner | 3614 W Kennedy Blvd, Suite B, Tampa, FL 33609-2852 | 2007-05-31 |
| 1588718860 | South Tampa Medical Group Pa | Internal Medicine | 3614 W Kennedy Blvd, Suite B, Tampa, FL 33609-2852 | 2007-01-23 |
| 1962560292 | Advanced Renal Care, Inc. | Clinic/Center | 3614 W Kennedy Blvd, Tampa, FL 33609-2852 | 2006-12-06 |
| 1851403695 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 3614 W Kennedy Blvd, Tampa, FL 33609 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| 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 | ||||
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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.