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PRIME DIALYSIS, LLC
NPI 1063941565
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Winter Garden, FL

Active since June 08, 2017
12200 WEST COLONIAL DRIVE, SUITE 102, WINTER GARDEN, FL 34787(954) 781-7741(888) 349-8679 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prime Dialysis, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME DIALYSIS, LLC (NPI 1063941565) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Winter Garden, Florida and active in the NPI registry since June 2017. The organization lists Mimi Barrera, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063941565
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePRIME DIALYSIS, LLC
Location Address12200 WEST COLONIAL DRIVE, SUITE 102Winter Garden, FL 34787
Mailing Address100 East Sample Road, Suite 220Pompano Beach, FL 33064 · (954) 781-7741 · Fax (888) 349-8679
Phone(954) 781-7741
Fax(888) 349-8679
Organization SubpartNo
Authorized OfficialMimi BarreraManaging Member · (305) 778-8277
Enumeration DateJune 8, 2017
✔ NPI 1063941565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
12200 WEST COLONIAL DRIVE, Winter Garden, FL 34787
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Dialysis, LLC's NPI number?

The NPI number for Prime Dialysis, LLC is 1063941565. It was assigned to this organization in the NPPES registry on June 8, 2017.

Where is Prime Dialysis, LLC located?

Prime Dialysis, LLC is located at 12200 West Colonial Drive Suite 102, Winter Garden, FL 34787. The listed phone number is (954) 781-7741.

What is Prime Dialysis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Prime Dialysis, LLC was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.