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UNIVERSITY OF SOUTH FLORIDA DIALYSIS CENTER NPI 1245324995


NPI Information

NPI: 1245324995
Provider Name: UNIVERSITY OF SOUTH FLORIDA DIALYSIS CENTER
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
10770 N 46TH STREET SUITE A 100
TAMPA, FL
ZIP 33617
Phone: (813) 632-7918
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UNIVERSITY OF SOUTH FLORIDA DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Tampa, FL. UNIVERSITY OF SOUTH FLORIDA DIALYSIS CENTER NPI is 1245324995. The provider is registered as an organization entity type.

The provider's business location address is:

10770 N 46TH STREET SUITE A 100
TAMPA, FL
ZIP 33617
Phone: (813) 632-7918
Fax: (813) 632-7941

The provider's authorized official is Izzy Hernandez .
The authorized official title is Unit Administrator and has the following contact phone number (813) 632-7918.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1030279101MEDICAIDFLORIDA
2102636MEDICARE OSCAR/CERTIFICATIONFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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