Organization · Type 2 NPI

Bonister Dialysis, LLC

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

NPI number 1235607144 Active

Practice location

5947 20th St
Vero Beach, FL 32966-4676

Call (772) 770-0331 Map

Fax (772) 770-0336

Mailing address

5200 Virginia Way, 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...

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NPI record

NPI: 1235607144
Entity type: Organization (Type 2)
Issued: Nov 8, 2018
Last updated: Apr 29, 2026
Status: Active

Other names

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Sandy Shores Dialysis · doing business as
Sandy Shores Dialysis · doing business as

Authorized official

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

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About NPI 1235607144

Bonister Dialysis, LLC's National Provider Identifier is 1235607144, issued on Nov 8, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Vero Beach, FL. The record was last updated on Apr 29, 2026.