Provider Demographics
NPI:1487766226
Name:BIO-MEDICAL APPLICATIONS OF FLORIDA INC
Entity type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF FLORIDA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DIVITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:775 GATEWAY DR
Mailing Address - Street 2:STE 1010
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-1501
Mailing Address - Country:US
Mailing Address - Phone:407-294-2456
Mailing Address - Fax:407-294-4997
Practice Address - Street 1:775 GATEWAY DR
Practice Address - Street 2:STE 1010
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-1501
Practice Address - Country:US
Practice Address - Phone:407-294-2456
Practice Address - Fax:407-294-4997
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
102511Medicare Oscar/Certification