Northeast Florida Dialysis Center

LBN: Ara-Orange Park Llc
Northeast Florida Dialysis Center is an health care organization with primary practice located at 2141 Loch Rane Blvd Ste 112&115 , Orange Park FL 32073-5723. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Ara-Orange Park Llc can be contacted via phone (904) 272-7331, or through Brady, Sara Anne via phone (208) 371-7878.

Contact Information

Primary practice address
2141 Loch Rane Blvd Ste 112&115 Orange Park FL 32073-5723
Phone: (904) 272-7331
Fax: (904) 272-9425
Website:
Map and Directions
Authorized official contact:
Name: Brady, Sara Anne
Phone: (208) 371-7878

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1033135306
LBN Legal business name Ara-Orange Park Llc
DBA Doing business as Northeast Florida Dialysis Center
Authorized official Brady, Sara Anne
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 10th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033135306 NPPES
Florida MEDICAID 200582400

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