Organization Active NPI

Dialysis Ser Central Florida LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orlando, FL
National Provider Identifier
1285607200
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DIALYSIS SER CENTRAL FLORIDA LLC
Practice address
2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone
(407) 515-2200
Fax
(407) 515-2210
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Timothy D Youell, MD
Title
Owner Manager
Phone
(407) 894-4693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2501 N Orange Ave
Ste 537N
Orlando, FL 32804

Mailing address

511 Union St
Ste 1800
Nashville, TN 37219
Phone (615) 467-0134

Other identifiers 1

IdentifierTypeStateIssuer
VJ6OtherFLBCBS

Other names 1

  • Home Dialysis DSCF Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1285607200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 UNION ST",
            "address_2": "STE 1800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37219",
            "telephone_number": "615-467-0134",
            "fax_number": "615-234-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE",
            "address_2": "STE 537N",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-515-2200",
            "fax_number": "407-515-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS SER CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "YOUELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER  MANAGER",
        "authorized_official_telephone_number": "407-894-4693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "VJ6",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Dialysis DSCF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.