Provider Demographics
NPI:1972838837
Name:BIO MEDICAL APPLICATIONS OF FLORIDA INC
Entity Type:Organization
Organization Name:BIO MEDICAL APPLICATIONS OF FLORIDA INC
Other - Org Name:U.S. RENAL CARE VIERA DIALYSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-736-2700
Mailing Address - Street 1:8041 SPYGLASS HILL RD
Mailing Address - Street 2:
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8559
Mailing Address - Country:US
Mailing Address - Phone:321-254-4553
Mailing Address - Fax:321-254-9386
Practice Address - Street 1:8041 SPYGLASS HILL RD
Practice Address - Street 2:
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-8559
Practice Address - Country:US
Practice Address - Phone:321-254-4553
Practice Address - Fax:321-254-9386
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:U.S. RENAL CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-12
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
682500Medicare Oscar/Certification