Bio Medical Applications of Florida, Inc
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hawthorne, FL
NPI 1053423830 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1053423830
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- BIO MEDICAL APPLICATIONS OF FLORIDA, INC
- Practice address
- 5837 SE US Highway 301
Hawthorne, FL 32640-7332 - Phone
- (352) 481-2664
- Fax
- (652) 481-2104
- NPI assigned
- Aug 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
- Name
- Mark R Fawcett
- Title
- Treasurer
- Phone
- (781) 699-9000
Member of 1
National Provider Directory
Locations
5837 SE US Highway 301
Hawthorne, FL 32640
Phone (352) 481-2664
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
5837 SE US Highway 301
Hawthorne, FL 32640-7332
Mailing address
5837 SE US Highway 301
Hawthorne, FL 32640-7332
Phone (352) 481-2664
Other names
- FMC DIALYSIS SERVICES OF HAWTHORNE
NPI Registry JSON
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332979200000",
"number": "1053423830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5837 SE US HIGHWAY 301",
"city": "HAWTHORNE",
"state": "FL",
"postal_code": "326407332",
"telephone_number": "352-481-2664",
"fax_number": "652-481-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5837 SE US HIGHWAY 301",
"city": "HAWTHORNE",
"state": "FL",
"postal_code": "326407332",
"telephone_number": "352-481-2664",
"fax_number": "652-481-2104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO MEDICAL APPLICATIONS OF FLORIDA, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2006-08-31",
"last_updated": "2012-03-29",
"status": "A",
"authorized_official_last_name": "FAWCETT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "781-699-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FMC DIALYSIS SERVICES OF HAWTHORNE",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.