CENTRAL DIALYSIS LLC


Address: 5631 1st Ave S, St Petersburg, FL 33707-1703
Phone: 7273220245

CENTRAL DIALYSIS LLC (NPI# 1558999490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558999490
Entity Type Organization
Organization Name CENTRAL DIALYSIS LLC
Practice Address 5631 1st Ave S
St Petersburg
FL 33707-1703
Practice Telephone 7273220245
Practice Fax Number 7273230994
Mailing Telephone 7273220245
Mailing Fax Number 7273230994
Enumeration Date 2020-03-27
Last Update Date 2020-03-27
Authorized Official Name DR. ABRAHAM AWWAD (DIRECTOR)
Authorized Official Telephone 7273220245
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 5631 1ST AVE S
City ST PETERSBURG
State FL
Zip Code 33707-1703

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1558551580 Linda K Barchie Massage Therapist 7230 Central Avenue, St Petersburg, FL 33707 2007-07-26
1487790770 Margaret Helen Young Dentist 509 Pasadena Avenue South, St Petersburg, FL 33707 2007-01-30
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1740331305 Suncoast O2 Systems Inc. Durable Medical Equipment & Medical Supplies 5213 1st Avenue S, St. Petersburg, FL 33707 2007-01-12
1902987902 Demekisa Sidamo Davis Acupuncturist 5301 Gulfport Blvd, Gulfport, FL 33707 2006-10-17
1689767691 Mark A. Roberts Family Medicine 1240 81st Street South, St. Petersburg, FL 33707 2006-10-02
1457443004 Darla Marie Keyes Physical Therapist 2825 Seabreeze Dr, Gulfport, FL 33707 2006-09-29
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1689715112 Kidney Life, Inc. Clinic/Center 446 4th St S, St Petersburg, FL 33701-4603 2007-02-09
1457329799 Dva Renal Healthcare Inc Clinic/Center 1117 Arlington Ave N, St Petersburg, FL 33705 2006-03-11
1669911343 Fresenius Kidney Care American Dialysis, LLC Clinic/Center 446 4th St S, St Petersburg, FL 33701-4603 2017-02-15
1003162496 Rai Care Centers of St. Petersburg LLC Clinic/Center 635 4th St N, St Petersburg, FL 33701-2319 2012-08-03
1528208204 Johns Hopkins All Children's Hospital, Inc Clinic/Center 501 6th Ave S, Dept. 9525, St Petersburg, FL 33701-4634 2009-02-20
1932240462 American Dialysis Center Inc Clinic/Center 446 4th St S, St Petersburg, FL 33701-4603 2007-02-09

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Competitor

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City ST PETERSBURG
Zip Code 33707

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Dataset Information

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.

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