Southwest Florida Dialysis Center PA

Primary specialty

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

Legal business name

SOUTHWEST FLORIDA DIALYSIS CENTER PA

Practice address

520 Manatee Ave E
Bradenton, FL 34208-1146

Phone

(941) 747-5500

Fax

(941) 748-7879

NPI assigned

Jun 6, 2007

Last updated

Jul 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nance A Phillips, RN

Title

Administrator

Phone

(941) 747-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Southwest Florida Dialysis CenterCCN 102853

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Dec 7, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

24

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Newby Braxtan III, M.D.

  • Nephrology Physician
  • Bradenton, FL
  • NPI 1104932771
  NPD (past)

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Veeraish Chauhan, MD, FACP, FASN

  • Nephrology Physician
  • Lakewood Ranch, FL
  • NPI 1356504294

  Dialysis facility

  Care Compare affiliation Name & address match
• Yogesh Kiranraj Sanghvi

  • Nephrology Physician
  • Lakewood Ranch, FL
  • NPI 1184870891

  Dialysis facility

  Care Compare affiliation Name & address match
• Guruswamy Ramamurthy, M.D.

  • Nephrology Physician
  • Bradenton, FL
  • NPI 1477669026

  Dialysis facility

  Care Compare affiliation Name & address match
• Hakan R. Toka, MD, PHD

  • Nephrology Physician
  • Bradenton, FL
  • NPI 1588719298

  Dialysis facility

  Care Compare affiliation Name & address match
• Egbert Joseph Cadena Liquete, M.D.

  • Nephrology Physician
  • Detroit, MI
  • NPI 1982832762

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1649473828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081146",
            "telephone_number": "941-747-5500",
            "fax_number": "941-748-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081146",
            "telephone_number": "941-747-5500",
            "fax_number": "941-748-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FLORIDA DIALYSIS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "NANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-747-5500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892804500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Florida Injury and Convenient Care
• South Florida Surgical Specialists, LLC
• South Tampa Medical Group PA
• Southern Home Care Services, Inc.
• Southwest Florida Care Services LLC
• Southwest Florida Medicine PLLC
• Spa Northwest LLC
• Verllyer Spanoz-Verdecia
• Nicole Spanswick
• Jason C Spector, D.P.M.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bradenton, FL
• Providers in Bradenton, 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 Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.