Provider Demographics
NPI:1740518745
Name:BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.
Entity type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:631 NW 21ST AVE.
Mailing Address - Street 2:
Mailing Address - City:CHIEFLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32676-1966
Mailing Address - Country:US
Mailing Address - Phone:352-493-1587
Mailing Address - Fax:352-493-1498
Practice Address - Street 1:631 NW 21ST AVE.
Practice Address - Street 2:
Practice Address - City:CHIEFLAND
Practice Address - State:FL
Practice Address - Zip Code:32676-1966
Practice Address - Country:US
Practice Address - Phone:352-493-1587
Practice Address - Fax:352-493-1498
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment