West Orange Palm Coast Dialysis Center LLC

Primary specialty

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

Legal business name

WEST ORANGE PALM COAST DIALYSIS CENTER LLC

Practice address

57 Town CT Ste 118
Palm Coast, FL 32164-2425

Phone

(407) 297-8408

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Akin Awosika

Title

Cfo

Phone

(407) 927-5873

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Banji O Awosika, MD

  • Specialist
  • Winter Garden, FL
  • NPI 1295770428
  NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1972074086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E PLANT ST STE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872995",
            "telephone_number": "407-297-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 TOWN CT STE 118",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642425",
            "telephone_number": "407-297-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE PALM COAST DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "AWOSIKA",
        "authorized_official_first_name": "AKIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-927-5873",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora A Weinlein, PHARMACIST
• Charles Weiss, MD
• Crystal Ann Weiss, LCSW
• Wellness One Chiropractic LLC
• Elijah Gordon Wells, PA-C
• West Shore Chiropractic
• Whaley Inc
• Jennifer M Whaley, BC-HIS
• Courtney Leigh Wheeler, LCSW
• Laura Louise Wheeler

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Palm Coast, FL
• Providers in Palm Coast, 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 Dec 16, 2018; 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.