Active NPI
Delta Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orlando, FL
National Provider Identifier
1487422630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DELTA DIALYSIS LLC
- Practice address
- 900 Plymouth Ave
Orlando, FL 32805-3744 - Phone
- (407) 824-1014
- Fax
- (407) 247-6910
- NPI assigned
- Dec 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ndidi Nwamu, DO
- Title
- Ceo
- Phone
- (407) 457-7808
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
900 Plymouth Ave
Orlando, FL 32805-3744
Mailing address
900 Plymouth Ave
Orlando, FL 32805-3744
Phone (407) 451-1208
National Provider Directory
National Provider DirectoryLocations
900 Plymouth Ave
Orlando, FL 32805
Phone (407) 482-4101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Orlando, FL
- NPI 1023273588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1487422630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PLYMOUTH AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328053744",
"telephone_number": "407-451-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PLYMOUTH AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328053744",
"telephone_number": "407-824-1014",
"fax_number": "407-247-6910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "NWAMU",
"authorized_official_first_name": "NDIDI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-457-7808",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.