Carrollwood Dialysis

LBN: Mammoth Dialysis Llc
Carrollwood Dialysis is an health care organization with primary practice located at 14358 N Dale Mabry Hwy , Tampa FL 33618-2018. 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. Mammoth Dialysis Llc can be contacted via phone (813) 960-3751, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
14358 N Dale Mabry Hwy Tampa FL 33618-2018
Phone: (813) 960-3751
Fax: (813) 961-7312
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1275810905
LBN Legal business name Mammoth Dialysis Llc
DBA Doing business as Carrollwood Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2011
Last updated Aug 8th, 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 1275810905 NPPES
Florida MEDICAID 006349500

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