Organization · Type 2 NPI

Artesia Dialysis LLC

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

NPI number 1902277445 Active

Practice location

2417 Mill Creek Ct, Ste 3
Tallahassee, FL 32308-4395

Call (850) 297-0435 Map

Fax (850) 523-0715

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: 1902277445
Entity type: Organization (Type 2)
Issued: Oct 9, 2015
Last updated: Oct 21, 2025
Status: Active

Other names

<unavail>
East Tallahassee Home Training · doing business as
East Tallahassee Home Training · 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 1902277445

Artesia Dialysis LLC's National Provider Identifier is 1902277445, issued on Oct 9, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tallahassee, FL. The record was last updated on Oct 21, 2025.