MEDICARE: SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538487897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	ATT: L&C DEPT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1002 CYPRESS PKWY
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34759-3328
Country	:	US
Telephone Number	:	321-697-5658
Fax Number	:	321-697-5435

Authorized Official
Title or Position	:	VP, LICENSURE & CERTIFICATION
Name	:	SAMUEL T WEY
Credential	:
Telephone Number	:	615-341-6641

Provider Enumeration Date	:	05/12/2010
Last Update Date	:	05/28/2025

Similar Medicare Providers

1376536235 — DR. ROBERTO GONZALEZ M.D.
Practice Location Address:

1050 CYPRESS PKWY
KISSIMMEE, FL
34759-3328

Practice Phone: 407-483-1400
Practice Fax: 407-483-1405

1679566277 — MIGDALIS MATOS GONZALEZ M.D.
Practice Location Address:

1050 CYPRESS PKWY
KISSIMMEE, FL
34759-3328

Practice Phone: 407-483-1400
Practice Fax: 407-483-1405

1982797569 — DR. DAVID JON MCCOY O.D.
Practice Location Address:

1040 CYPRESS PKWY
KISSIMMEE, FL
34759-3328

Practice Phone: 407-933-2088
Practice Fax: 407-933-1968

1508902099 — LILLIAN M. VARGAS MD
Practice Location Address:

1050 CYPRESS PKWY
KISSIMMEE, FL
34759-3328

Practice Phone: 407-483-1400
Practice Fax: 407-483-1405

1730397530 — SPIRO JOHN PANTZOULAS DMD
Practice Location Address:

1096 CYPRESS PKWY
KISSIMMEE, FL
34759-3328

Practice Phone: 407-933-8222
Practice Fax:

1336392083 — SYED T MUMTAZ MD PA
Practice Location Address:

1000 CYPRESS PKWY
KISSIMMEE, FL
34759-3328

Practice Phone: 407-201-3944
Practice Fax: 407-201-3950

Directions to “SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.