BRACHE DIALYSIS LLC


Address: 2205 W Kennedy Blvd, Tampa, FL 33606-1536
Phone: 8132543638

BRACHE DIALYSIS LLC (NPI# 1871971556) 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) 1871971556
Entity Type Organization
Organization Name BRACHE DIALYSIS LLC
Other Organization Name KENNEDY BOULEVARD DIALYSIS
Practice Address 2205 W Kennedy Blvd
Tampa
FL 33606-1536
Mailing Address 5200 Virginia Way
L&c Department
Brentwood
TN 37027-7569
Practice Telephone 8132543638
Practice Fax Number 8132543809
Mailing Telephone 6153204593
Mailing Fax Number 8002935872
Enumeration Date 2015-05-13
Last Update Date 2020-10-26
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
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

Other Provider Identifier

State Issuer Identifier Type Code
FL 017606800 05

Other Provider/Organization Names

Other Name Type Code
Kennedy Boulevard Dialysis Doing Business As Name - Organization

Office Location

Street Address 2205 W KENNEDY BLVD
City TAMPA
State FL
Zip Code 33606-1536

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235758749 Seyed Shayan Ahmad Falasiri Student in an Organized Health Care Education/Training Program 17 Davis Blvd. #308, Tampa, FL 33606 2020-04-14
1174156400 Jessica Styles Specialist/Technologist The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 2020-02-14
1295389757 David Green Specialist/Technologist 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 2019-08-01
1417514720 Four Winds Counseling LLC Counselor 611 West Bay Street, Tampa, FL 33606 2019-05-22
1699238014 Azubuogu Charles Anudu Student in an Organized Health Care Education/Training Program 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 2019-04-11
1508327883 D'arcy Jocelyn Arden Wainwright Student in an Organized Health Care Education/Training Program 17 David Blvd., Suite 308, Tampa, FL 33606 2019-03-28
1659851772 Heather Widmer Counselor 202 N Howard Ave, Tampa, FL 33606 2018-08-17
1447737291 Jonathan T Bell Marriage & Family Therapist 425 S. Orleans Ave, Tampa, FL 33606 2018-07-24
1184157539 Alexander Lim Student in an Organized Health Care Education/Training Program 17 David Blvd, Suite 308, Tampa, FL 33606 2017-04-04
1760913057 Melanie Loretta Bradley Student in an Organized Health Care Education/Training Program 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 2017-03-27
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720622574 Fresenius Medical Care Tampa, LLC Clinic/Center 4602 N Armenia Ave Bldg B, Tampa, FL 33603-2626 2019-11-05
1932677838 Bayfield Dialysis LLC Clinic/Center 6222 Harney Rd, Tampa, FL 33610-5500 2018-11-08
1437673407 Bio-medical Applications of Florida, Inc. Clinic/Center 5951 Webb Rd, Tampa, FL 33615-3219 2017-08-01
1952771313 Starks Dialysis LLC Clinic/Center 2301 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 2015-09-29
1922477017 Starks Dialysis, LLC Clinic/Center 2301 Martin Luther King Jr Blvd, Tampa, FL 33606 2015-09-18
1033599766 Dsi Lutz, LLC Clinic/Center 3421 N Lakeview Dr, Tampa, FL 33618-4910 2015-06-08
1275810905 Mammoth Dialysis LLC Clinic/Center 14358 N Dale Mabry Hwy, Tampa, FL 33618-2018 2011-11-09
1518196252 Total Renal Care Inc Clinic/Center 10770 N 46th St Ste A100, Tampa, FL 33617-3465 2009-07-02
1629250857 Bio Medical Applications Clinic/Center 5625 W Waters Ave Ste A, Tampa, FL 33634-1226 2007-11-29
1245324995 University of South Florida Dialysis Center Clinic/Center 10770 N 46th Street Suite A 100, Tampa, FL 33617 2006-10-03
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Competitor

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City TAMPA
Zip Code 33606

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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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