Flamingo Park Kidney Center Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FLAMINGO PARK KIDNEY CENTER INC

Practice address

901 E 10TH Ave
Bay 17
Hialeah, FL 33010-3762

Phone

(305) 884-5677

Fax

(305) 884-2466

NPI assigned

Mar 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Flamingo Park Kidney Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1215904776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4593",
            "fax_number": "800-293-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 10TH AVE",
            "address_2": "BAY 17",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103762",
            "telephone_number": "305-884-5677",
            "fax_number": "305-884-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO PARK KIDNEY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200526301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flamingo Park Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flamingo Park Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexa Lynne Fistel, MS, OTR/L
• Sharon A Fitzgerald, M.A., ATR
• Jeremy Fitzig
• FL Association of Autonomous NPS Medical Office Owners Inc
• Flamingo Dialysis Center IV LLC
• Flamingo Park Manor LLC
• Josue Angelo Flanquin, MD
• Thalia Fleitas Valdes, RBT
• Idania Fleitas
• Yamila Fleitas

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.