DSI SOUTH TAMPA LLC (NPI# 1679511729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679511729 |
Entity Type | Organization |
Organization Name | DSI SOUTH TAMPA LLC |
Other Organization Name | U.S. RENAL CARE SOUTH TAMPA DIALYSIS |
Practice Address |
731 W Lumsden Rd Brandon FL 33511-6261 |
Mailing Address |
424 Church St Suite 1900 Nashville TN 37219-2301 |
Practice Telephone | 8133538100 |
Practice Fax Number | 8133531440 |
Mailing Telephone | 6152341188 |
Mailing Fax Number | 6152349526 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2016-03-29 |
Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 2147362700 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. RENAL CARE, 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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 004869400 | 05 |
Other Name | Type Code |
---|---|
U.S. Renal Care South Tampa Dialysis | Doing Business As Name - Organization |
Street Address |
731 W LUMSDEN RD |
City | BRANDON |
State | FL |
Zip Code | 33511-6261 |
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1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
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1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
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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.