Dialysis Ser Central Florida LLC

Primary specialty

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

Legal business name

DIALYSIS SER CENTRAL FLORIDA LLC

Doing business as

Casselberry DSCF

Practice address

4970 South 17-92
Casselberry, FL 32730

Phone

(615) 467-0136

Fax

(615) 234-2422

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gretchen K Barr

Title

VP of Reimbursement

Phone

(615) 467-0134

Specialties & licenses 1

Addresses

Other names 1

• Casselberry DSCF Doing business as

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1336264472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 UNION ST",
            "address_2": "SUITE 1800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191733",
            "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": "4970 SOUTH 17-92",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "32730",
            "telephone_number": "615-467-0136",
            "fax_number": "615-234-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS SER CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP OF REIMBURSEMENT",
        "authorized_official_telephone_number": "615-467-0134",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "Casselberry DSCF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Casselberry, FL
• Providers in Casselberry, 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 Nov 6, 2007; 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.