SUNAPEE DIALYSIS LLC (NPI# 1558739573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558739573 |
Entity Type | Organization |
Organization Name | SUNAPEE DIALYSIS LLC |
Other Organization Name | HUNTERS CREEK DIALYSIS |
Practice Address |
14050 Town Loop Blvd Suite 104a Orlando FL 32837 |
Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
Practice Telephone | 4078589458 |
Practice Fax Number | 4078580761 |
Mailing Telephone | 6153204593 |
Mailing Fax Number | 8002467584 |
Enumeration Date | 2015-09-08 |
Last Update Date | 2020-05-21 |
Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334501 |
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 | 022116700 | 05 |
Other Name | Type Code |
---|---|
Hunters Creek Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154799948 | Sunapee Dialysis LLC | Clinic/Center | 802 N John Young Pkwy, Kissimmee, FL 34741-4912 | 2015-09-10 |
1063880854 | Sunapee Dialysis LLC | Clinic/Center | 4750 Old Canoe Creek Rd, Saint Cloud, FL 34769-1430 | 2015-09-10 |
1184092116 | Sunapee Dialysis LLC | Clinic/Center | 1154 Celebration Blvd, Kissimmee, FL 34747-4605 | 2015-09-08 |
Street Address |
14050 TOWN LOOP BLVD SUITE 104A |
City | ORLANDO |
State | FL |
Zip Code | 32837 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801864459 | South Central Florida Dialysis Partners LLC | Clinic/Center | 14050 Town Loop Blvd, Ste 104a, Orlando, FL 32837-6190 | 2006-03-09 |
1043604929 | The Family Doctors, LLC | Family Medicine | 14050 Town Loop Blvd, Ste. 201, Orlando, FL 32837-6190 | 2015-03-27 |
1336576750 | Brandon Joshua Nieves | Physician Assistant | 14050 Town Loop Blvd, Ste 203, Orlando, FL 32837-6190 | 2013-09-30 |
1316159023 | The Family Doctors of Buena Ventura Pa | Family Medicine | 14050 Town Loop Blvd, Suite 201, Orlando, FL 32837-6190 | 2007-05-04 |
1063506905 | Luis Alejandro Jaramillo | Plastic Surgery | 14050 Town Loop Blvd, Suite 204, Orlando, FL 32837-6190 | 2006-10-03 |
1285731422 | Jaime Barnes | Chiropractor | 14050 Town Loop Blvd, 105, Orlando, FL 32837-6190 | 2006-09-20 |
1528092400 | Marin Bautista | Family Medicine | 14050 Town Loop Blvd, Suite 201, Orlando, FL 32837-6190 | 2006-07-10 |
1295784957 | Valenie Rivera Roig | Dermatology | 14050 Town Loop Blvd, Suite 203, Orlando, FL 32837-6190 | 2006-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
Find all providers in zip 32837 |
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 |
---|---|---|---|---|
1720559198 | Caring Heart Metro West Dialysis LLC | Clinic/Center | 1743 Park Center Dr Ste 300, Orlando, FL 32835-7621 | 2018-12-11 |
1619450988 | Total Renal Care Inc | Clinic/Center | 828 Mercy Dr, Orlando, FL 32808-7820 | 2018-09-12 |
1700369089 | Total Renal Care Inc | Clinic/Center | 7960 Forest City Rd Ste 105, Orlando, FL 32810-2938 | 2018-09-12 |
1831690924 | Lourdes Dialysis LLC | Clinic/Center | 8259 Clarcona Ocoee Rd, Orlando, FL 32818-1228 | 2018-02-23 |
1861933699 | West Orange Orlando Dialysis Center LLC | Clinic/Center | 828 Mercy Dr Ste 2, Orlando, FL 32808-7820 | 2017-03-13 |
1295274595 | Lourdes Dialysis LLC | Clinic/Center | 12001 Science Dr Ste 110, Orlando, FL 32826-2913 | 2017-02-20 |
1689126757 | South Central Florida Dialysis Partners LLC | Clinic/Center | 5778 S Semoran Blvd Ste A, Orlando, FL 32822-4819 | 2016-10-25 |
1013468438 | Total Renal Care Inc | Clinic/Center | 5778 S Semoran Blvd, Ste A, Orlando, FL 32822-4819 | 2016-10-20 |
1942679667 | Central Florida Kidney Centers Inc | Clinic/Center | 401 S Chickasaw Trl, Orlando, FL 32825-7803 | 2015-09-23 |
1396124905 | West Orange Maitland Dialysis Center LLC | Clinic/Center | 7960 Forest City Rd, Suite 105, Orlando, FL 32810-2938 | 2015-05-28 |
Find all providers in ORLANDO |
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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.