Organization · Type 2 NPI
Mammoth Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tampa, FL
NPI number
1275810905
Active
Practice location
14358 N Dale Mabry Hwy
Tampa, FL 33618-2018
Fax (813) 961-7312
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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About NPI 1275810905
Mammoth Dialysis LLC's National Provider Identifier is 1275810905, issued on Nov 9, 2011. 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 Jun 4, 2026.