Organization · Type 2 NPI

Ybor City Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tampa, FL

NPI number 1205006228 Active

Practice location

4204 N Macdill Ave, Ste 1B, North Bldg
Tampa, FL 33607-6364

Call (813) 872-8216 Map

Fax (813) 872-8469

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Dva Healthcare Renal Care Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Tampa, FL NPI 1053389536

Other end-stage renal disease (esrd) treatment clinic/center providers in Tampa

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NPI record

NPI: 1205006228
Entity type: Organization (Type 2)
Issued: Mar 5, 2008
Last updated: Feb 3, 2026
Status: Active

Other names

<unavail>
Greater Tampa at Home · doing business as
Greater Tampa at Home · doing business as

Authorized official

Samuel T Wey
VP Licensure&certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205006228

Ybor City Dialysis LLC's National Provider Identifier is 1205006228, issued on Mar 5, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tampa, FL. The record was last updated on Feb 3, 2026.