MEDICARE: WEST PALM DIALYSIS, 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

General Provider Information

NPI Number	:	1780786079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST PALM DIALYSIS, LLC

Provider Business Mailing Address
First Line	:	1522 N DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1522 N DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2720
Country	:	US
Telephone Number	:	561-833-5355
Fax Number	:

Authorized Official
Title or Position	:	SVP & TREASURER
Name	:	MARK FAWCETT
Credential	:
Telephone Number	:	781-699-9000

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	10/11/2018

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1295752095 — WEST PALM DIALYSIS, LLC
Practice Location Address:

1522 N DIXIE HWY , WEST PAL DIALYSIS, LLC - CKD SERVICES
WEST PALM BEACH, FL
33401-2720

Practice Phone: 561-833-5355
Practice Fax: 561-833-9193

1912144023 — FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Practice Location Address:

1522 N DIXIE HWY , CKD SERVICES OF RCG W. PALM BEACH
WEST PALM BEACH, FL
33401-2720

Practice Phone: 877-253-2489
Practice Fax:

1013482215 — PURE LIFE RENAL OF WEST PALM BEACH, LLC
Practice Location Address:

1522 N DIXIE HWY
WEST PALM BEACH, FL
33401-2720

Practice Phone: 954-962-5733
Practice Fax:

1033143342 — GARDENS COURT MEDICAL INVESTORS, LLC
Practice Location Address:

3803 PGA BLVD
PALM BEACH GARDENS, FL
33410-2720

Practice Phone: 561-626-1125
Practice Fax: 561-627-2549

1437524550 — ANGEL HANDS COMPANION SERVICES
Practice Location Address:

616 51ST ST
WEST PALM BEACH, FL
33407-2720

Practice Phone: 800-615-4101
Practice Fax:

Directions to “WEST PALM DIALYSIS, 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.