Winter Haven South Dialysis

LBN: Yargol Dialysis Llc
Winter Haven South Dialysis is an health care organization with primary practice located at 7220 Cypress Gardens Blvd , Winter Haven FL 33884-3217. 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. Yargol Dialysis Llc can be contacted via phone (863) 324-5040, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
7220 Cypress Gardens Blvd Winter Haven FL 33884-3217
Phone: (863) 324-5040
Fax: (863) 324-8492
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 1104255983
LBN Legal business name Yargol Dialysis Llc
DBA Doing business as Winter Haven South Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2013
Last updated Feb 5th, 2024 - about 9 months 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 1104255983 NPPES
Florida MEDICAID 012387900

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