PALMETTO DIALYSIS CENTER LLC (NPI# 1386836815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386836815 |
| Entity Type | Organization |
| Organization Name | PALMETTO DIALYSIS CENTER LLC |
| Other Organization Name | PLANTATION DIALYSIS |
| Practice Address |
3820 Us Highway 301 N Ellenton FL 34222-2331 |
| Practice Telephone | 9417223733 |
| Practice Fax Number | 9417223766 |
| Mailing Telephone | 9417223733 |
| Mailing Fax Number | 9417223766 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006344100 | 05 |
| Other Name | Type Code |
|---|---|
| Plantation Dialysis | Doing Business As Name - Organization |
| Street Address |
3820 US HIGHWAY 301 N |
| City | ELLENTON |
| State | FL |
| Zip Code | 34222-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346774585 | Pepharon Ciceron | Occupational Therapy Assistant | 5535 69th Pl E, Ellenton, FL 34222 | 2017-04-14 |
| 1104289131 | Marie Yvrose Saint-louis | Nurse's Aide | 5302 65 Terrace East, Ellenton, FL 34222 | 2016-03-29 |
| 1861608846 | Susan M Schoonmaker | Chiropractor | 7032 Us Hwy 301 North, Simple Relief Wellness Center, Ellenton, FL 34222 | 2007-05-15 |
| 1558374777 | Delynne Marie Murphy | Internal Medicine | 433 N. Us Hwy 301, Ellenton, FL 34222 | 2006-08-15 |
| 1942220124 | Ruben B. Hernandez | Internal Medicine | 4333 N. Hwy 301, Ellenton, FL 34222 | 2006-07-20 |
| 1073050688 | Jessica Laurent | Nurse Practitioner | 7915 Us Highway 301 N Ste 103, Ellenton, FL 34222 | 2017-01-21 |
| 1366873911 | Institute of Computerized Dentistry, Inc. | Dentist | 3030 Us Highway 301 N, Ellenton, FL 34222 | 2013-12-09 |
| 1932217205 | The Eye Associates of Manatee, LLP | Ophthalmology | 7915 Us Highway 301 N, Suite 101, Ellenton, FL 34222 | 2006-08-28 |
| 1952493264 | Vijayalakshmi Dhaduvai | Internal Medicine | 2901 Us Highway 301 N, Ellenton, FL 34222-2007 | 2006-09-28 |
| 1053345306 | Ashok Kumar Kumar Dhaduvai | Internal Medicine | 2901 Us Highway 301, Ellenton, FL 34222-2007 | 2006-07-11 |
| Find all providers in zip 34222 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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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.