CENTRAL FLORIDA KIDNEY CENTERS INC (NPI# 1952307589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952307589 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA KIDNEY CENTERS INC |
| Other Organization Name | PALM BAY KIDNEY CENTER |
| Practice Address |
220 Medplex Pkwy Ne Palm Bay FL 32907-2560 |
| Mailing Address |
203 Ernestine Street Orlando FL 32801-3621 |
| Practice Telephone | 3217222649 |
| Practice Fax Number | 3217222716 |
| Mailing Telephone | 4078436110 |
| Mailing Fax Number | 4074251526 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | DENNIS BUHRING (CEO) |
| Authorized Official Telephone | 4074406674 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL FLORIDA KIDNEY CENTERS, 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 | 200512301 | 05 | |
| FL | 100626200 | 05 |
| Other Name | Type Code |
|---|---|
| PALM BAY KIDNEY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942679667 | Central Florida Kidney Centers Inc | Clinic/Center | 401 S Chickasaw Trl, Orlando, FL 32825-7803 | 2015-09-23 |
| 1942293691 | Central Florida Kidney Centers Inc | Clinic/Center | 203 Ernestine St, Orlando, FL 32801-3621 | 2005-08-29 |
| 1841283504 | Central Florida Kidney Centers Inc | Clinic/Center | 741 S Dillard St, Winter Garden, FL 34787-3907 | 2005-08-29 |
| 1831182583 | Central Florida Kidney Centers Inc | Clinic/Center | 4407 Vineland Road, Suite D-2, Orlando, FL 32811-7225 | 2005-08-29 |
| 1891788550 | Central Florida Kidney Centers Inc | Clinic/Center | 14522 Landstar Blvd, Unit 108, Orlando, FL 32824-6450 | 2005-08-29 |
| 1902899578 | Central Florida Kidney Centers Inc | Clinic/Center | 745 W State Road 434, Suite A, Longwood, FL 32750-4909 | 2005-08-29 |
| 1578569109 | Central Florida Kidney Centers Inc | Clinic/Center | 14 Suntree Pl, Ste 102, Melbourne, FL 32940-7605 | 2005-06-28 |
| 1245236876 | Central Florida Kidney Centers Inc | Clinic/Center | 1400 S Apollo Blvd, Melbourne, FL 32901-3145 | 2005-06-28 |
| 1710928924 | Central Florida Kidney Centers Inc | Specialist | 203 Ernestine St, Orlando, FL 32801-3621 | 2006-06-09 |
| Street Address |
220 MEDPLEX PKWY NE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| 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 |
|---|---|---|---|---|
| 1629480165 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 450 Malabar Rd Se, Suite 101, Palm Bay, FL 32907-3103 | 2014-06-02 |
| 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 | ||||
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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.