Kennedy Boulevard Dialysis

LBN: Brache Dialysis Llc
Kennedy Boulevard Dialysis is an health care organization with primary practice located at 2205 W Kennedy Blvd , Tampa FL 33606-1536. 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. Brache Dialysis Llc can be contacted via phone (813) 254-3638, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
2205 W Kennedy Blvd Tampa FL 33606-1536
Phone: (813) 254-3638
Fax: (813) 254-3809
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1871971556
LBN Legal business name Brache Dialysis Llc
DBA Doing business as Kennedy Boulevard Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2015
Last updated Apr 4th, 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 1871971556 NPPES
Florida MEDICAID 017606800

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