East Tampa Dialysis

LBN: Safeharbor Dialysis Llc
East Tampa Dialysis is an health care organization with primary practice located at 1701 E 9Th Ave , Ybor City FL 33605-3801. 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. Safeharbor Dialysis Llc can be contacted via phone (813) 247-1820, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
1701 E 9Th Ave Ybor City FL 33605-3801
Phone: (813) 247-1820
Fax: (813) 247-3129
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 1063657088
LBN Legal business name Safeharbor Dialysis Llc
DBA Doing business as East Tampa Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2008
Last updated Jul 16th, 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 1063657088 NPPES
Florida MEDICAID 001939400

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