FLORIDA DIALYSIS CENTER OF HAINES CITY LLC
NPI 1184014912
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Davenport, FL

Active since February 02, 2015CLIA 10D2089827 · Waiver
2/5
Overall Rating
2340 NORTH BOULEVARD WEST, DAVENPORT, FL 33837(863) 353-6886(863) 547-9527 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Jan 10, 2023, Aug 18, 2022 and 4 more (7 updates tracked since 2015).

About Florida Dialysis Center Of Haines City Llc NPPES

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

FLORIDA DIALYSIS CENTER OF HAINES CITY LLC (NPI 1184014912) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Davenport, Florida and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1184014912
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFLORIDA DIALYSIS CENTER OF HAINES CITY LLC
Location Address2340 NORTH BOULEVARD WESTDavenport, FL 33837-8924
Mailing Address2340 North Boulevard WestDavenport, FL 33837-8924 · (863) 353-6886 · Fax (863) 547-9527
Fax(863) 547-9527
Organization SubpartNo
Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878
Enumeration DateFebruary 2, 2015
Last NPPES UpdateMay 27, 20267 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1184014912 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
2340 NORTH BOULEVARD WEST, Davenport, FL 33837

Other Identifiers 1

Medicaid015769300FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2089827

Florida Dialysis Center Of Haines City, LLC · Davenport, FL
Active · expires Jan 7, 2027
CLIA Number10D2089827
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorAmr El Toukhy
Laboratory Phone(863) 353-6886
Laboratory LocationFlorida Dialysis Center Of Haines City, LLC2340 North Boulevard West, Davenport, FL 33837
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Florida Dialysis Center Of Haines City LLC (CMS certification number 682583), from CMS Care Compare.

Florida Dialysis Center Of Haines City LLC

Dialysis facility · Davenport, FL
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainAmerican Renal Associates
CMS Certification Number682583
ESRD NetworkNetwork 7
Hemodialysis Stations20
Medicare-Certified SinceJuly 1, 2015
Location2340 NORTH BOULEVARD WESTDavenport, FL 33837 · Polk County
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Florida Dialysis Center Of Haines City LLC's NPI number?

The NPI number for Florida Dialysis Center Of Haines City LLC is 1184014912. It was assigned to this organization in the NPPES registry on February 2, 2015.

Where is Florida Dialysis Center Of Haines City LLC located?

Florida Dialysis Center Of Haines City LLC is located at 2340 North Boulevard West, Davenport, FL 33837. The listed phone number is (863) 353-6886.

What is Florida Dialysis Center Of Haines City 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.

Does Florida Dialysis Center Of Haines City LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2089827) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Florida Dialysis Center Of Haines City LLC a Medicare-certified dialysis facility?

Yes. Florida Dialysis Center Of Haines City LLC is a Medicare-certified dialysis facility, certified since July 1, 2015.

What quality rating does Florida Dialysis Center Of Haines City LLC have?

CMS rates Florida Dialysis Center Of Haines City LLC 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Florida Dialysis Center Of Haines City LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Florida Dialysis Center Of Haines City LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Dialysis Center Of Haines City LLC was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.