GRAHAMS DIALYSIS LLC NPI 1457957870

NPI Information

NPI: 1457957870
Provider Name: GRAHAMS DIALYSIS, LLC

Doing Business As: TAMPA BREEZE DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D2206352

Address:
6914 SHELDON RD
SUITE 102
TAMPA, FL
ZIP 33615
Phone: (863) 663-3071
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GRAHAMS DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Tampa, FL. GRAHAMS DIALYSIS, LLC NPI is 1457957870. The provider is registered as an organization entity type.
The provider Is Doing Business As Tampa Breeze Dialysis.

The provider's business location address is:

6914 SHELDON RD
SUITE 102
TAMPA, FL
ZIP 33615-701
Phone: (863) 663-3071
Fax: (863) 663-3093

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 10D2206352 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2020 and was last updated on 12/21/2023.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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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