Organization · Type 2 NPI

Greenleaf Dialysis LLC

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

NPI number 1447500343 Active

Practice location

4960 W Newberry Rd, Ste 280
Gainesville, FL 32607-2201

Call (352) 378-4960 Map

Fax (352) 371-1552

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...

3 other providers at this address

Doctors Imaging Group LLC West OfficeDiagnostic Ultrasound Physician Gainesville, FL NPI 1043328776
Gainesville Radiology Group West, LLCDiagnostic Radiology Physician Gainesville, FL NPI 1508869405
William Kelsey Vandyke, DMDGeneral Practice Dentistry Gainesville, FL NPI 1558484279

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NPI record

NPI: 1447500343
Entity type: Organization (Type 2)
Issued: Sep 18, 2012
Last updated: Mar 18, 2025
Status: Active

Other names

<unavail>
Gainesville Home Dialysis · doing business as
Gainesville Home Dialysis · doing business as

Authorized official

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

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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 1447500343

Greenleaf Dialysis LLC's National Provider Identifier is 1447500343, issued on Sep 18, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Gainesville, FL. The record was last updated on Mar 18, 2025.