Active NPI
Central Florida Kidney Centers Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orlando, FL
National Provider Identifier
1891788550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CENTRAL FLORIDA KIDNEY CENTERS INC
- Practice address
- 14522 Landstar Blvd
Unit 108
Orlando, FL 32824-6450 - Phone
- (407) 843-6110
- Fax
- (407) 425-1526
- NPI assigned
- Aug 29, 2005
- 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
- Amy Kozsuch
- Title
- Ceo
- Phone
- (407) 843-6110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
14522 Landstar Blvd
Unit 108
Orlando, FL 32824-6450
Mailing address
203 Ernestine St
Orlando, FL 32801-3621
Phone (407) 843-6110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212045300 | Medicaid | FL |
Other names 1
- Osceola
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000093 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1153235791 | Practice locations: Orlando, FL |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Melbourne, FL
- NPI 1245236876
1153235791
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Melbourne, FL
- NPI 1578569109
1153235791
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orlando, FL
- NPI 1831182583
1153235791
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orlando, FL
- NPI 1942293691
1153235791
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orlando, FL
- NPI 1942679667
1153235791
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Palm Bay, FL
- NPI 1952307589
1153235791
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Central Florida Kidney Center - Osceola
- Overall star rating
- Ownership
- Non-profit
- Certified
- Sep 6, 1996
- Medicare certification status
- Active
- Chain
- Central Florida Kidney Centers
- Dialysis stations
- 20
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0917815 | Central Florida Kidney Centers, Inc Os | Certificate of waiver | Jul 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
14522 Landstar Blvd
Ste 108
Orlando, FL 32824
Phone (407) 332-4448
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1891788550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 ERNESTINE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013621",
"telephone_number": "407-843-6110",
"fax_number": "407-425-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14522 LANDSTAR BLVD",
"address_2": "UNIT 108",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328246450",
"telephone_number": "407-843-6110",
"fax_number": "407-425-1526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FLORIDA KIDNEY CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-29",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "KOZSUCH",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-843-6110"
},
"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": "212045300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Osceola",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Osceola",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Orlando, FL
- Central Florida Injury East, Inc
- Central Florida Injury Southwest, Inc
- Central Florida Internists Inc
- Central Florida Kidney Centers Inc
- Central Florida Kidney Centers Inc
- Central Florida Kidney Centers Inc
- Central Florida Kidney Centers Inc
- Central Florida Kidney Specialists Inc
- Central Florida Medical & Chiropractic Center
- Central Florida Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.