Sandy Shores Dialysis

LBN: Bonister Dialysis, Llc
Sandy Shores Dialysis is an health care organization with primary practice located at 5947 20Th St , Vero Beach FL 32966-4676. 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. Bonister Dialysis, Llc can be contacted via phone (772) 770-0331, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
5947 20Th St Vero Beach FL 32966-4676
Phone: (772) 770-0331
Fax: (772) 770-0336
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel AO
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1235607144
LBN Legal business name Bonister Dialysis, Llc
DBA Doing business as Sandy Shores Dialysis
Authorized official Wey, Samuel AO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2018
Last updated Jun 25th, 2024 - about last year

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 1235607144 NPPES
Florida MEDICAID 104083800

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