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).
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 |
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 |
Street Address |
5631 1ST AVE S |
City | ST PETERSBURG |
State | FL |
Zip Code | 33707-1703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
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 |
1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
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 |
Find all providers in zip 33707 |
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 |
---|---|---|---|---|
1235549387 | St Petersburg Kidney Care South LLC | Clinic/Center | 4050 34th Street South, St Petersburg, FL 33711-4350 | 2014-04-29 |
1326314295 | St Petersburg Kidney Care LLC | Clinic/Center | 800 3rd Ave S, Webb Plaza, St Petersburg, FL 33701-4010 | 2012-03-26 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
Find all providers with the same taxonomy |
City | ST PETERSBURG |
Zip Code | 33707 |
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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.