West Orange Palm Coast Dialysis Center LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Palm Coast, FL. Organization (NPI-2).
Details
- NPI
- 1972074086
- Entity type
- Organization (NPI-2)
- Legal business name
- West Orange Palm Coast Dialysis Center LLC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2018
- Last updated
- Dec 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Practice location
57 Town Ct Ste 118Palm Coast, FL 32164-2425
Phone 407-297-8408
Mailing address
1210 E Plant St Ste 120Winter Garden, FL 34787-2995
Phone 407-297-8408
Authorized official
Akin Awosika
Cfo
4079275873
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Palm Coast, FL
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- Dialysis Care Center Of Palm Coast LLCNPI 1962683714
- Dva Healthcare Renal Care INCNPI 1619945946
- Total Renal Care, INCNPI 1508495763
- Total Renal Care, INC.NPI 1588020069
All 6 End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Palm Coast · All 1,894 providers in Palm Coast
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