PROVIDER #: ADVANCED DIALYSIS CENTER OF FT LAUDERDALE 911 E OAKLAND PARK BLVD OAKLAND PARK, FL PHONE: (954) FAX: (954)

Transcription

1 A UNIQUE KIDNEY CENTER LLC 3105 N UNIVERSITY DR DAVIE, FL PHONE: (954) FAX: (954) PROVIDER #: PROVIDER #: ADVANCED DIALYSIS CENTER OF FT LAUDERDALE 911 E OAKLAND PARK BLVD OAKLAND PARK, FL PHONE: (954) FAX: (954) ADVANCED DIALYSIS INSTITUTE INC 7150 W 20TH AVE STE 109 HIALEAH, FL PHONE: (305) FAX: (305) PROVIDER #: ADVANCED RENAL CARE 3614 W KENNEDY BLVD SUITE A TAMPA, FL PHONE: (813) FAX: (813) PROVIDER #: AKC OF DEERFIELD BEACH 1983 W HILLSBORO BLVD DEERFIELD BEACH, FL PHONE: (954) FAX: (954) PROVIDER #: ALL CHILDRENS HOSPITAL DIALYSIS 501 6TH ST S BOX 7860 SAINT PETERSBURG, FL PHONE: (727) FAX: (727) PROVIDER #: AMELIA ISLAND DIALYSIS 1525 LIME ST STE 120 FERNANDINA BEACH, FL PHONE: (904) FAX: (904) PROVIDER #: AMERICAN DIALYSIS CENTER PO BOX SAINT PETERSBURG, FL PHONE: (727) FAX: (727) PROVIDER #: FL0413 AMERICARE RENAL CENTER LLC 2601 SOUTHWEST 37 AVE #138 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: APOPKA ARTIFICIAL KIDNEY CENTER 1065 W ORANGE BLOSSOM TRL APOPKA, FL PHONE: (407) FAX: (407) PROVIDER #: APOPKA DIALYSIS 640 EXECUTIVE PARK COURT APOPKA, FL PHONE: (407) FAX: (407) PROVIDER #: ARA - BOCA RATON DIALYSIS LLC 1905 CLINT MOORE RD STE 211 BOCA RATON, FL PHONE: (561) FAX: (561) PROVIDER #: ARA - NAPLES DIALYSIS CENTER LLC 4529 EXECUTIVE DRIVE NAPLES, FL PHONE: (239) FAX: (239) PROVIDER #: PROVIDER #: ARA - NAPLES SOUTH DIALYSIS CENTER LLC 4270 TAMIAMI TRAIL EAST SUITE 1 NAPLES, FL PHONE: (239) FAX: (239) ARA - WEST JACKSONVILLE LLC 425 N LEE STREET SUITE 103 JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: ARA NORTH JACKSONVILLE 1725 OAKHURST AVENUE SUITE 100 JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: ARCADIA DIALYSIS CENTER 1341 E OAK ST ARCADIA, FL PHONE: (863) FAX: (863) PROVIDER #: ATLANTIC KIDNEY CENTERS LLC 4700 CONGRESS AVE STE 104 WEST PALM BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: AVE MARIA DIALYSIS 5340 USEPPA DRIVE SUITE 101 AVE MARIA, FL PHONE: (239) FAX: (239) PROVIDER #: AVENTURA DIALYSIS CENTER NE 29TH AVE MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: AVENTURA KIDNEY CENTER 22 SW 11TH STREET HALLANDALE BEACH, FL PHONE: (954) FAX: (954) PROVIDER #: PROVIDER #: BAPTIST MEDICAL CENTER - PEDIATRIC DIALYSIS 800 PRUDENTIAL DR JACKSONVILLE, FL PHONE: (904) FAX: (904) BARTOW DIALYSIS 1190 E CHURCH ST BARTOW, FL PHONE: (863) FAX: (863) PROVIDER #: BAY BREEZE DIALYSIS CLINIC INC ULMERTON RD LARGO, FL PHONE: (727) FAX: (727) PROVIDER #: PROVIDER #: BAYONET POINT - HUDSON KIDNEY CTR NEPHRON LN HUDSON, FL PHONE: (727) FAX: (727) BIG LAKE KIDNEY CENTER LLC 3240 HIGHWAY 441 SOUTH OKEECHOBEE, FL PHONE: (863) FAX: (863) PROVIDER #: BMA - AVON PARK 4833 SUN N LAKES BLVD SEBRING, FL PHONE: (863) FAX: (863) PROVIDER #: BMA - BOYNTON BEACH 3451 WOOLBRIGHT RD BOYNTON BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: BMA - CLEARWATER US HWY 19 N CLEARWATER, FL PHONE: (727) FAX: (727) PROVIDER #: BMA - CUTLER RIDGE S DIXIE HWY MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #:

2 BMA - DELTONA 1200 DELTONA BLVD STE 26 DELTONA, FL PHONE: (386) FAX: (386) PROVIDER #: BMA - GAINESVILLE EAST 720 SW 2ND AVE STE 250 GAINESVILLE, FL PHONE: (352) FAX: (352) PROVIDER #: BMA - GAINESVILLE 1775 NW 80TH BLVD GAINESVILLE, FL PHONE: (352) FAX: (352) PROVIDER #: BMA - HIALEAH 7170 W 20TH AVE HIALEAH, FL PHONE: (305) FAX: (305) PROVIDER #: BMA - JACKSONVILLE 1944 ATLANTIC BLVD JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: BMA - KENDALL 9193 SW 72ND ST # 100-B MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: BMA - LAKE CITY 1445 SW MAIN BLVD STE 120 LAKE CITY, FL PHONE: (386) FAX: (386) PROVIDER #: BMA - METROPOLITAN MIAMI 5550 W FLAGLER ST MIAMI, FL PHONE: (786) FAX: (786) PROVIDER #: BMA - NORTH ORLANDO 750 S NORTH LAKE BLVD STE 1024 ALTAMONTE SPRINGS, FL PHONE: (407) FAX: (407) PROVIDER #: BMA - PALATKA 6541 ST JOHN AVENUE PALATKA, FL PHONE: (386) FAX: (386) PROVIDER #: BMA - PORT SAINT LUCIE 1680 SE LYNGATE DR #101 PORT SAINT LUCIE, FL PHONE: (772) FAX: (772) PROVIDER #: BMA - SAINT JOHNS 3132 SAINT JOHNS BLUFF RD S JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: BMA - SOUTH COLLIER TAMIAMI TRAIL EAST # 121 NAPLES, FL PHONE: (239) FAX: (239) PROVIDER #: BMA - SOUTH FT MYERS 9400 GLADIOLUS DR STE 200 FORT MYERS, FL PHONE: (239) FAX: (239) PROVIDER #: BMA - SOUTH MIAMI 8770 SW 144TH ST MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: BMA - STARKE 444 W MADISON ST STARKE, FL PHONE: (904) FAX: (904) PROVIDER #: BMA - TAMPA 3242 HENDERSON BLVD #200 TAMPA, FL PHONE: (813) FAX: (813) PROVIDER #: BMA - WEST DADE 2791 SW 137TH AVE MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: BMA - WEST ORLANDO 5600 W COLONIAL DR STE 101 ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: PROVIDER #: BOCA RATON ARTIFICIAL KIDNEY CENTER 998 NW 9TH CT BOCA RATON, FL PHONE: (561) FAX: (561) PROVIDER #: BOCA/DELRAY RENAL ASSOCIATES INC 1905 CLINT MOORE RD STE 306 BOCA RATON, FL PHONE: (561) FAX: (561) BONITA SPRINGS DIALYSIS 9134 BONITA BEACH RD BONITA SPRINGS, FL PHONE: (239) FAX: (239) PROVIDER #: BOYNTON/NORTH DELRAY DIALYSIS 2655 W ATLANTIC AVE DELRAY BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: PROVIDER #: BRADENTON ARTIFICIAL KIDNEY CENTER 5902 POINTE WEST BLVD BRADENTON, FL PHONE: (941) FAX: (941) BRADENTON DIALYSIS CENTER LLC 5837 WEST 21ST AVENUE BRADENTON, FL PHONE: (941) FAX: (941) PROVIDER #: BRADENTON DIALYSIS 3501 CORTEZ RD W BRADENTON, FL PHONE: (941) FAX: (941) PROVIDER #: PROVIDER #: BRANDON ARTIFICIAL KIDNEY CENTER 514 MEDICAL OAKS AVE BRANDON, FL PHONE: (813) FAX: (813) BRANDON EAST DIALYSIS 114 E BRANDON BLVD BRANDON, FL PHONE: (813) FAX: (813) PROVIDER #: BRIGHT DIALYSIS 1801 S 23RD ST STE 1 FORT PIERCE, FL PHONE: (772) FAX: (772) PROVIDER #: BROWARD DIALYSIS 1500 N FEDERAL HWY #100 FORT LAUDERDALE, FL PHONE: (954) FAX: (954) PROVIDER #:

3 CAPE CORAL NORTH DIALYSIS 1315 SE 8TH TERRACE CAPE CORAL, FL PHONE: (239) FAX: (239) CARROLLWOOD DIALYSIS N DALE MABRY HWY TAMPA, FL PHONE: (813) FAX: (813) CENTER FOR KIDNEY DISEASE 1190 NW 95TH ST STE 208 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: FL0414 PROVIDER #: PROVIDER #: CENTRAL FLORIDA KIDNEY CENTER - VINELAND 4301 VINELAND RD # E-17 ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: CAPE CORAL SOUTH DIALYSIS 3046 DEL PRADO BLVD SOUTH SUITE 4A CAPE CORAL, FL PHONE: (239) FAX: (239) CASSELBERRY DIALYSIS dba CASSELBERRY DIALYSIS 4970 SOUTH US HWY CASSELBERRY, FL PHONE: (321) FAX: (321) PROVIDER #: PROVIDER #: CENTRAL FLORIDA KIDNEY CENTER - LONGWOOD 745 W SR 434 STE A LONGWOOD, FL PHONE: (407) FAX: (407) PROVIDER #: CENTRAL FLORIDA KIDNEY CENTER - WINTER GARDEN 741 S DILLARD ST WINTER GARDEN, FL PHONE: (407) FAX: (407) PROVIDER #: CARROLLWOOD ARTIFICIAL KIDNEY CENTER 4553 GUNN HWY WESTWOOD PLAZA TAMPA, FL PHONE: (813) FAX: (813) CELEBRATION DIALYSIS 1154 CELEBRATION BLVD CELEBRATION, FL PHONE: (407) FAX: (407) PROVIDER #: PROVIDER #: CENTRAL FLORIDA KIDNEY CENTER - OSCEOLA 2220 E IRLO BRONSON MEMORIAL HWY SUITE 6 KISSIMMEE, FL PHONE: (407) FAX: (407) CENTRAL FLORIDA KIDNEY CENTER 203 ERNESTINE STREET ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: PROVIDER #: CENTRAL ORLANDO DIALYSIS 2548 N ORANGE BLOSSOM TRAIL #400 ORLANDO, FL PHONE: (407) FAX: (407) CENTRAL TAMPA DIALYSIS 4204 N MACDILL AVE SOUTH BLDG TAMPA, FL PHONE: (813) FAX: (813) PROVIDER #: CHIPLEY DIALYSIS 877 3RD STREET STE 2 CHIPLEY, FL PHONE: (850) FAX: (850) PROVIDER #: COASTAL KIDNEY CENTER 510 N MCARTHUR AVE PANAMA CITY, FL PHONE: (850) FAX: (850) PROVIDER #: COMPLETE DIALYSIS CARE 7850 W SAMPLE RD CORAL SPRINGS, FL PHONE: (954) FAX: (954) PROVIDER #: CORAL GABLES KIDNEY CENTER 3280 PONCE DE LEON BLVD MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: CRYSTAL RIVER DIALYSIS CENTER 7435 W GULF TO LAKE HWY CRYSTAL RIVER, FL PHONE: (352) FAX: (352) PROVIDER #: CRYSTAL RIVER DIALYSIS CENTER 7435 W GULF TO LAKE HWY CRYSTAL RIVER, FL PHONE: (352) FAX: (352) PROVIDER #: CYPRESS CREEK DIALYSIS CENTER 952 CYPRESS VILLAGE BLVD SUN CITY, FL PHONE: (813) FAX: (813) PROVIDER #: DADE DIALYSIS CENTER 1601 NW 8TH AVE MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: DAVENPORT DIALYSIS CENTER US HWY 27 DAVENPORT, FL PHONE: (863) FAX: (863) PROVIDER #: DAVENPORT DIALYSIS CENTER US HWY 27 DAVENPORT, FL PHONE: (863) FAX: (863) PROVIDER #: DAYTONA BEACH DIALYSIS 578 HEALTH BLVD DAYTONA BEACH, FL PHONE: (386) FAX: (386) PROVIDER #: DAYTONA SOUTH DIALYSIS 1801 S NOVA RD #306 DAYTONA BEACH, FL PHONE: (386) FAX: (386) PROVIDER #: DEFUNIAK SPRINGS DIALYSIS 1045 US HIGHWAY 331 S DEFUNIAK SPRINGS, FL PHONE: (850) FAX: (850) PROVIDER #: DELAND DIALYSIS 350 EAST NEW YORK AVENUE DELAND, FL PHONE: (386) FAX: (386) PROVIDER #: PROVIDER #: DELRAY BEACH DIALYSIS CENTER LLC 5130 LINTON BLVD SUITE G4 DELRAY BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: DIALYSIS & KIDNEY CTR OF N BREVARD 830 CENTURY MEDICAL DR UNIT C TITUSVILLE, FL PHONE: (321) FAX: (321)

4 PROVIDER #: DIALYSIS ASSOC OF THE PALM BEACHES 2611 POINSETTIA AVE WEST PALM BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: DIALYSIS CLINIC INC OF SOUTHPOINT 4221 SOUTHPOINT BLVD JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: DIALYSIS CARE CENTER OF DAYTONA 720 CLYDE MORRIS BLVD DAYTONA BEACH, FL PHONE: (386) FAX: (386) DIALYSIS CLINIC INC 757 UNION STREET W JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: PROVIDER #: DIALYSIS CARE CENTER OF PALM COAST 515 PALM COAST PARKWAY SW ROMA COURT #2 #3 #4 PALM COAST, FL PHONE: (386) FAX: (386) DIALYSIS RUBERMAN LAMADRID NW 20TH STREET 3105 DORAL, FL PHONE: (305) FAX: (305) PROVIDER #: DSI - TAMPA CENTRAL 4705 N ARMENIA AVE TAMPA, FL PHONE: (813) FAX: (813) PROVIDER #: DSI LAKEWOOD RENAL CENTER 8470 COOPER CREEK BLVD UNIVERSITY PARK, FL PHONE: (941) FAX: (941) PROVIDER #: DSI SOUTH TAMPA LLC 731 WEST LUMSDEN BRANDON, FL PHONE: (813) FAX: (813) PROVIDER #: PROVIDER #: EAST FT LAUDERDALE DIALYSIS CENTER LLC 1301 S ANDREWS AVE SUITE 101 FORT LAUDERDALE, FL PHONE: (954) FAX: (954) FIRST COAST DIALYSIS CENTER 5730 BOWDEN ROAD SUITE 110 JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: EAST TAMPA DIALYSIS 1701 E 9TH AVENUE YBOR CITY, FL PHONE: (813) FAX: (813) PROVIDER #: PROVIDER #: FLAMINGO PARK KIDNEY CENTER INC 901 E 10TH AVE BAY 17 HIALEAH, FL PHONE: (305) FAX: (305) PROVIDER #: EMBASSY LAKES ARTIFICIAL KIDNEY CENTER SHERIDAn ST SUITE 308 COOPER CITY, FL PHONE: (954) FAX: (954) PROVIDER #: FLORIDA DIALYSIS CENTER OF ORLANDO LLC TH STREET #109 ORLANDO, FL PHONE: (407) FAX: (407) FLORIDA DIALYSIS INSTITUTE 9999 NE 2ND AVE SUITE 119 MIAMI SHORES, FL PHONE: (786) FAX: (786) PROVIDER #: PROVIDER #: FLORIDA HOSPITAL ESRD RENAL DIALYSIS 2ND FLOOR MAIN HOSP 601 E ROLLINS ST ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: FLORIDA HOSPITAL TRANSPLANT CENTER 2415 N. ORANGE AVE STE 600 & 700 ORLANDO, FL PHONE: (407) FAX: (407) FLORIDA KIDNEY CENTER 7309 WEST OAKLAND PARK BLVD LAUDERHILL, FL PHONE: (954) FAX: (954) PROVIDER #: FLORIDA RENAL CENTER 3500 NW 7TH STREET MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: FMC - ATLANTIS 5503 SOUTH CONGRESS AVE SUITE 101 ATLANTIS, FL PHONE: (561) FAX: (561) PROVIDER #: FMC - BELLEAIR DIALYSIS CENTER 617 LAKEVIEW ROAD SUITE B CLEARWATER, FL PHONE: (727) FAX: (727) PROVIDER #: FMC - BELLEAIR HOME THERAPIES 617 LAKEVIEW RD SUITE C CLEARWATER, FL PHONE: (727) FAX: (727) PROVIDER #: PROVIDER #: FMC - BOYNTON BEACH GULF STREAM 3925 W BOYNTON BEACH BLVD #110 BOYNTON BEACH, FL PHONE: (561) FAX: (561) FMC - CHIEFLAND 631 NW 21ST AVE CHIEFLAND, FL PHONE: (352) FAX: (352) PROVIDER #: FMC - CORAL SPRINGS 850 RIVERSIDE DRIVE POMPANO BEACH, FL PHONE: (954) FAX: (954) PROVIDER #: FMC - DEFUNIAK SPRINGS 43 SHOEMAKER DR DEFUNIAK SPRINGS, FL PHONE: (850) FAX: (850) PROVIDER #: FMC - EAST ORLANDO 2200 NORTH ALAFAYA TRAIL SUITE 600 ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: PROVIDER #: FMC - LAKE CLARKE SHORES DIALYSIS CENTER 3047 FOREST HILL BLVD WEST PALM BEACH, FL PHONE: (561) FAX: (561) FMC - MACCLENNY 244 NORTH 3RD STREET MACCLENNY, FL PHONE: (904) FAX: (904) PROVIDER #:

5 FMC - MANDARIN 9143 PHILIPS HWY SUITE 110 JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: FMC - NARANJA S DIXIE HIGHWAY HOMESTEAD, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: FMC - NORTH SARASOTA DIALYSIS CENTER 8037 COOPER CREEK BLVD UNIVERISTY PARK, FL PHONE: (941) FAX: (941) FMC - OCEANWAY NORTH MAIN ST SUITE 305 JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: FMC - PANAMA CITY 2100 HARRISON AVE PANAMA CITY, FL PHONE: (850) FAX: (850) PROVIDER #: FMC - PINELLAS PARK 7901 US HWY 19N PINELLAS PARK, FL PHONE: (727) FAX: (727) PROVIDER #: FMC - PLANTATION 849 N NOB HILL RD PLANTATION, FL PHONE: (954) FAX: (954) PROVIDER #: PROVIDER #: FMC - ROYAL PALM BEACH 6901 WEST OKEECHOBEE BLVD #D-19 WEST PALM BEACH, FL PHONE: (561) FAX: (561) FMC - SANFORD 419 E FIRST ST SANFORD, FL PHONE: (407) FAX: (407) PROVIDER #: FMC - SOUTH SAINT PETERSBURG TH ST S SAINT PETERSBURG, FL PHONE: (727) FAX: (727) PROVIDER #: FMC - THE GLADES SW 88TH STREET MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: FMC - TRADITION 1748 SW ST LUCIA WEST BLVD PORT SAINT LUCIE, FL PHONE: (772) FAX: (772) PROVIDER #: FMC - VIERA 8041 SPYGLASS HILL RD VIERA, FL PHONE: (321) FAX: (321) PROVIDER #: FMC - YBOR CITY 1602 N 21ST ST TAMPA, FL PHONE: (813) FAX: (813) PROVIDER #: FMC DIALYSIS SERVICES - ALACHUA RESEARCH CIR ALACHUA, FL PHONE: (386) FAX: (386) PROVIDER #: PROVIDER #: FMC DIALYSIS SERVICES - CLEWISTON 851 W VENTURA AVE CLEWISTON, FL PHONE: (863) FAX: (863) PROVIDER #: FMC DIALYSIS SERVICES - FT LAUDERDALE 3863 W BROWARD BLVD PLANTATION, FL PHONE: (954) FAX: (954) PROVIDER #: FMC DIALYSIS SERVICES - HAWTHORNE 5837 SE US HIGHWAY 301 HAWTHORNE, FL PHONE: (352) FAX: (352) PROVIDER #: FMC DIALYSIS SERVICES - JACKSONVILLE LEM TURNER RD JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: FMC DIALYSIS SERVICES - NORTH BOYNTON BEACH 4965 LECHALET BLVD BOYNTON BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: FMC DIALYSIS SERVICES - KEY WEST KEY WEST DIALYSIS 1122 N ROOSEVELT BLVD KEY PLAZA KEY WEST, FL PHONE: (305) FAX: (305) PROVIDER #: FMC DIALYSIS SERVICES - SAINT AUGUSTINE 1680 OSCEOLA ELEMENTARY ROAD SUITE B SAINT AUGUSTINE, FL PHONE: (904) FAX: (904) FMC DIALYSIS SERVICES - LIVE OAK SUWANNEE PLAZA BLVD LIVE OAK, FL PHONE: (386) FAX: (386) PROVIDER #: PROVIDER #: FMC DIALYSIS SERVICES - WEST PALM BEACH 2000 CONTINENTAL DR STE A WEST PALM BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: FMC DIALYSIS SERVICES - WINTER PARK 6848 ALOMA AVE WINTER PARK, FL PHONE: (407) FAX: (407) PROVIDER #: FORT LAUDERDALE RENAL ASSOCIATES 6264 N FEDERAL HWY FORT LAUDERDALE, FL PHONE: (954) FAX: (954) FORT MYERS DIALYSIS 4220 EXECUTIVE CIRCLE #38 FORT MYERS, FL PHONE: (239) FAX: (239) PROVIDER #: FORT MYERS NORTH DIALYSIS NORTH CLEVELAND AVE FORT MYERS, FL PHONE: (239) FAX: (239) PROVIDER #: FORT MYERS SOUTH DIALYSIS 8570 GRANITE COURT FORT MYERS, FL PHONE: (239) FAX: (239) PROVIDER #: FOUR FREEDOMS DIALYSIS dba RANGE STREET DIALYSIS 289A SW RANGE AVENUE MADISON, FL PHONE: (850) FAX: (850) PROVIDER #:

6 PROVIDER #: FT LAUDERDALE ARTIFICIAL KIDNEY CTR 1299 EAST COMMERCIAL BLVD #100 OAKLAND PARK, FL PHONE: (954) FAX: (954) GATEWAY DIALYSIS CENTER NORWOOD AVENUE JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: GATEWAY DIALYSIS 5705 LEE BLVD #16 LEHIGH ACRES, FL PHONE: (239) FAX: (239) PROVIDER #: PROVIDER #: GOLDTREE KIDNEY CENTER LLC 1407 SOUTHEAST GOLDTREE DRIVE STE A PORT SAINT LUCIE, FL PHONE: (772) FAX: (772) GREATER MIAMI DIALYSIS 160 NW 176TH ST #100 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: GREATER TAMPA AT HOME 4204 B N MACDILL AVE NORTH BLDG STE 1 TAMPA, FL PHONE: (813) FAX: (813) GULF BREEZE DIALYSIS CENTER 1519 MAIN ST DUNEDIN, FL PHONE: (727) FAX: (727) PROVIDER #: GULF COAST DIALYSIS INC 1121 OVERCASH DRIVE DUNEDIN, FL PHONE: (727) FAX: (727) PROVIDER #: GULF COAST DIALYSIS INC TAMIAMI TRAIL SUITE 101A PORT CHARLOTTE, FL PHONE: (941) FAX: (941) PROVIDER #: PROVIDER #: GULF COAST KIDNEY CENTER - HUDSON YOSEMITE DR STE 102 HUDSON, FL PHONE: (727) FAX: (727) PROVIDER #: HALIFAX MEDICAL CENTER THE CENTER FOR TRANSPLANT SERVICES 311 N CLYDE MORRIS BLVD, Ste 480 DAYTONA BEACH, FL PHONE: (386) FAX: (386) PROVIDER #: HIALEAH ARTIFICIAL KIDNEY CENTER 2750 W 68TH ST #207 HIALEAH, FL PHONE: (305) FAX: (305) PROVIDER #: GULF COAST KIDNEY CENTER - NEW PORT RICHEY dba PHYSICIANS DIALYSIS - NEW PORT RICHEY 4802 GRAND BLVD NEW PORT RICHEY, FL PHONE: (727) FAX: (727) PROVIDER #: HALLANDALE ARTIFICIAL KIDNEY CENTER 2655 HOLLYWOOD BLVD HOLLYWOOD, FL PHONE: (954) FAX: (954) HIGHLANDS DIALYSIS CENTER 4245 SUN N LAKE BLVD SEBRING, FL PHONE: (863) FAX: (863) PROVIDER #: PROVIDER #: GULF COAST MEDICAL CTR LMHS - TRANSPLANT DOCTORS WAY FORT MYERS, FL PHONE: (239) FAX: (239) HERNANDO KIDNEY CENTER 2985 LANDOVER BLVD SPRING HILL, FL PHONE: (352) FAX: (352) HILLIARD DIALYSIS CENTER LLC US HWY 1 #118 HILLIARD, FL PHONE: (904) FAX: (904) PROVIDER #: PROVIDER #: PROVIDER #: HOLLYWOOD ARTIFICIAL KIDNEY CENTER 1 OAKWOOD BLVD #100 HOLLYWOOD, FL PHONE: (954) FAX: (954) PROVIDER #: HOMESTEAD ARTIFICIAL KIDNEY CENTER 99 NE 8TH ST HOMESTEAD, FL PHONE: (305) FAX: (305) INDIAN RIVER DIALYSIS CENTER TH STREET VERO BEACH, FL PHONE: (772) FAX: (772) PROVIDER #: INTERAMERICAN DIALYSIS CENTER 7815 CORAL WAY STE 115 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: INVERNESS DIALYSIS CENTER 1510 HIGHWAY 41 NORTH INVERNESS, FL PHONE: (352) FAX: (352) PROVIDER #: PROVIDER #: JACKSON MEMORIAL HOSP DIALYSIS PEDIATRIC 1611 NW 12TH AVE MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: JACKSON MEMORIAL HOSP TRANSPLANT CT 1801 NW 9TH AVE HIGHLAND PROF BLDG/5TH & 6TH FLOORS MIAMI, FL PHONE: (305) FAX: (305) JACKSONVILLE BEACH DIALYSIS TH STREET JACKSONVILLE BEACH, FL PHONE: (904) FAX: (904) PROVIDER #: JACKSONVILLE KIDNEY CENTER 1107 MYRA ST STE 101 JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: PROVIDER #: JACKSONVILLE SOUTH DIALYSIS CENTER OLD ST AUGUSTINE RD UNIT 114 JACKSONVILLE, FL PHONE: (904) FAX: (904) JOHN CUNIO DIALYSIS CENTER 2561 CORAL WAY MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: JOHNSON DIALYSIS CENTER LLC JOHNSON ST PEMBROKE PINES, FL PHONE: (954) FAX: (954) PROVIDER #:

7 JUPITER KIDNEY CENTER LLC 1701 MILITARY TRAIL #140 JUPITER, FL PHONE: (561) FAX: (561) PROVIDER #: KENDALL KIDNEY CENTER 8364 MILLS DRIVE #1740 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: KIDNEY INSTITUTE OF NAPLES TH AVE N NAPLES, FL PHONE: (239) FAX: (239) PROVIDER #: PROVIDER #: KIDNEY KARE OUTPATIENT SERVICES 326 E DANIA BEACH BLVD DANIA, FL PHONE: (954) FAX: (954) KIDNEY SPA LLC 219 NW 12TH AVE #C4 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: KISSIMMEE DIALYSIS dba KISSIMMEE 802 JOHN YOUNG PARKWAY KISSIMMEE, FL PHONE: (407) FAX: (407) PROVIDER #: LAKE DIALYSIS 221 N 1ST ST LEESBURG, FL PHONE: (352) FAX: (352) PROVIDER #: LAKE GRIFFIN EAST DIALYSIS 401 E NORTH Blvd LEESBURG, FL PHONE: (352) FAX: (352) PROVIDER #: LAKE WALES DIALYSIS 1125 BRYN MAWR AVE LAKE WALES, FL PHONE: (863) FAX: (863) PROVIDER #: LAKE WORTH DIALYSIS 2459 S CONGRESS AVE #100 WEST PALM BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: LAKELAND DIALYSIS 515 E BELLA VISTA ST LAKELAND, FL PHONE: (863) FAX: (863) PROVIDER #: LAKELAND SOUTH DIALYSIS 5050 S FLORIDA AVE STE 1 LAKELAND, FL PHONE: (863) FAX: (863) PROVIDER #: LAKES DIALYSIS CENTER 7980 NW 155 ST 2ND FLOOR MIAMI LAKES, FL PHONE: (305) FAX: (305) LEHIGH ACRES DIALYSIS TH ST WEST LEHIGH ACRES, FL PHONE: (239) FAX: (239) PROVIDER #: PROVIDER #: PROVIDER #: MAYO CLINIC FLORIDA ATTN: OUTPATIENT DIALYSIS 4203 BELFORT RD ROGER MAIN BUILDING, STE 103 JACKSONVILLE, FL PHONE: (904) FAX: (904) MEMORIAL PLAZA DIALYSIS 3901 UNIVERSITY BLVD S #111 JACKSONVILLE, FL PHONE: (904) FAX: (904) MIAMI CAMPUS DIALYSIS 1500 NW 12TH AVE STE 106 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: LAURAL MANOR DIALYSIS CENTER 1950 LAUREL MANOR DRIVE #190 THE VILLAGES, FL PHONE: (352) FAX: (352) LEHIGH ACRES DIALYSIS TH ST WEST LEHIGH ACRES, FL PHONE: (239) FAX: (239) MELBOURNE DIALYSIS 2235 SOUTH BABCOCK ST MELBOURNE, FL PHONE: (321) FAX: (321) PROVIDER #: PROVIDER #: PROVIDER #: PROVIDER #: MEMORIAL REGIONAL HOSP - PEDIATRIC DIALYSIS dba JOE DIMAGGIO CHILDRENS HOSPITAL 1005 JOE DIMAGGIO DRIVE HOLLYWOOD, FL PHONE: (954) FAX: (954) PROVIDER #: MIAMI CHILDRENS HOSP DIALYSIS UNIT 6125 SW 31ST ST MIAMI, FL PHONE: (305) FAX: (305) LEHIGH ACRES DIALYSIS CENTER LLC 3227 LEE BOULEVARD UNIT A LEHIGH ACRES, FL PHONE: (239) FAX: (239) PROVIDER #: PROVIDER #: LIFELINE HEALTHCARE SERVICES INC dba Florida Dialysis Institute Home Program 3601 W. Commercial Blvd, Ste 35 FORT LAUDERDALE, FL PHONE: (954) FAX: (954) MELBOURNE KIDNEY CENTER 1400 S APOLLO BLVD MELBOURNE, FL PHONE: (321) FAX: (321) PROVIDER #: PROVIDER #: MIAMI ARTIFICIAL KIDNEY CENTER LC 9175 SW 87TH AVE MIAMI, FL PHONE: (305) FAX: (305) MIAMI EAST DIALYSIS 1250 NW 7TH ST STE 106 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: MIAMI GARDENS DIALYSIS 3363 NW 167TH ST OPA LOCKA, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: MIAMI LAKES ARTIFICIAL KIDNEY CTR NW 60TH AVE MIAMI, FL PHONE: (786) FAX: (305) MIAMI NORTH DIALYSIS 860 NE 125TH ST NORTH MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #:

8 PROVIDER #: MIAMI REGIONAL DIALYSIS CENTER INC 100 NW 170TH ST STE 106 NORTH MIAMI BEACH, FL PHONE: (305) FAX: (305) PROVIDER #: MIAMI REGIONAL DIALYSIS CENTER WEST LLC 900 PARK CENTRE BLVD #400-C MIAMI GARDENS, FL PHONE: (305) FAX: (305) MIDDLEBURG DIALYSIS LLC 2070 PALMETTO ST #B-1 MIDDLEBURG, FL PHONE: (904) FAX: (904) PROVIDER #: MIRAMAR KIDNEY CENTER 2501 DYKES RD SUITE 200 HOLLYWOOD, FL PHONE: (954) FAX: (954) PROVIDER #: MT DORA DIALYSIS 2735 OLD HWY 441 MOUNT DORA, FL PHONE: (352) FAX: (352) PROVIDER #: NAPLES ARTIFICIAL KIDNEY CENTER 3699 AIRPORT PULLING RD N NAPLES, FL PHONE: (239) FAX: (239) PROVIDER #: NAPLES DIALYSIS 661 9TH ST N NAPLES, FL PHONE: (239) FAX: (239) PROVIDER #: NEPHROLOGY CENTER OF CENTURY 6001 INDUSTRIAL BLVD CENTURY, FL PHONE: (850) FAX: (850) PROVIDER #: PROVIDER #: NEPHROLOGY CENTER OF CRESTVIEW 129 REDSTONE AVE SUITE B CRESTVIEW, FL PHONE: (850) FAX: (850) NEPHROLOGY CENTER OF MILTON 5934 BERRY HILL ROAD #2 MILTON, FL PHONE: (850) FAX: (850) PROVIDER #: PROVIDER #: NEPHROLOGY CENTER OF PENSACOLA 1717 N E ST STE 501 PENSACOLA, FL PHONE: (850) FAX: (850) NEW PORT RICHEY KIDNEY CENTER 7421 RIDGE ROAD PORT RICHEY, FL PHONE: (727) FAX: (727) PROVIDER #: NEW SMYRNA BEACH AKC 821 STATE ROAD 44 NEW SMYRNA BEACH, FL PHONE: (386) FAX: (386) PROVIDER #: NEW SMYRNA BEACH DIALYSIS 110 S ORANGE ST NEW SMYRNA BEACH, FL PHONE: (386) FAX: (386) PROVIDER #: NEW START DIALYSIS CENTER LLC 900 NE 125 STREET #210 NORTH MIAMI, FL PHONE: (786) FAX: (786) PROVIDER #: PROVIDER #: NNA KIDNEY DIALYSIS CENTER - SARASOTA 1630 TUTTLE AVE SARASOTA, FL PHONE: (941) FAX: (941) NORTH MELBOURNE DIALYSIS INC 14 SUNTREE PLACE SUITE 102 MELBOURNE, FL PHONE: (321) FAX: (321) PROVIDER #: PROVIDER #: NORMANDY VILLAGE DIALYSIS CENTER 7764 NORMANDY BLVD JACKSONVILLE, FL PHONE: (904) FAX: (904) NORTH NAPLES DIALYSIS LLC 1750 SW HEALTH PKWY NAPLES, FL PHONE: (239) FAX: (239) PROVIDER #: NORTH BEACH DIALYSIS CENTER NW 2ND AVE SUITE 229 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: NORTH OKALOOSA DIALYSIS CENTER 320 W REDSTONE AVE CRESTVIEW, FL PHONE: (850) FAX: (850) PROVIDER #: NORTH PALM BEACH DIALYSIS CENTER 2841 PGA BLVD PALM BEACH GARDENS, FL PHONE: (561) FAX: (561) PROVIDER #: NORTHEAST FLORIDA DIALYSIS CENTER 2141 LOCH RAND BLVD #113 ORANGE PARK, FL PHONE: (904) FAX: (904) NRI - NAPLES 6625 HILLWAY CIRCLE NAPLES, FL PHONE: (239) FAX: (239) PROVIDER #: PROVIDER #: NW BROWARD ARTIFICIAL KIDNEY CENTER 2514 N STATE ROAD 7 MARGATE, FL PHONE: (954) FAX: (954) PROVIDER #: OCALA REGIONAL KIDNEY CENTER EAST 2870 SE 1ST AVE OCALA, FL PHONE: (352) FAX: (352) PROVIDER #: OCALA REGIONAL KIDNEY CENTER NORTH 2620 WEST HWY 316 CITRA, FL PHONE: (352) FAX: (352) PROVIDER #: OCALA REGIONAL KIDNEY CENTER SOUTH US HWY 441 BLDG 400 LADY LAKE, FL PHONE: (352) FAX: (352) PROVIDER #: OCALA REGIONAL KIDNEY CENTER WEST 9401 SW HIGHWAY 200 STE 600 OCALA, FL PHONE: (352) FAX: (352) PROVIDER #: OCALA REGIONAL KIDNEY CENTERS HOME DIALYSIS 2860 SE 1st Ave OCALA, FL PHONE: (352) FAX: (352)

9 OCOEE DIALYSIS W COLONIAL DR STE 5 OCOEE, FL PHONE: (407) FAX: (407) PROVIDER #: ORANGE CITY DIALYSIS 2575 S VOLUSIA AVE #400 ORANGE CITY, FL PHONE: (386) FAX: (386) PROVIDER #: ORANGE PARK KIDNEY CENTER 2061 PROFESSIONAL CENTER DR ORANGE PARK, FL PHONE: (904) FAX: (904) PROVIDER #: ORION MEDICAL ENTERPRISES NE 10TH AVE MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: ORLANDO ARTIFICIAL KIDNEY CENTER 3100 CLAY AVE SUITE 100 ORLANDO, FL PHONE: (407) FAX: (407) ORLANDO DIALYSIS 116 STURTEVANT ST ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: ORLANDO DIALYSIS TOWNLOOP BLVD #104 ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: ORLANDO EAST DIALYSIS LAKE UNDERHILL ROAD BLDG 2 STE 206 ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: PROVIDER #: ORLANDO HOME TRAINING DIALYSIS 116 STURTEVANT AVE STE 2 ORLANDO, FL PHONE: (407) FAX: (407) ORLANDO NORTH DIALYSIS 5135 ADANSON ST STE 700 ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: PROVIDER #: ORLANDO PARK DIALYSIS 5397 WEST COLONIAL DRIVE, SUITE #120 ORLANDO, FL PHONE: (407) FAX: (407) ORLANDO SOUTHWEST DIALYSIS 6925 LAKE ELLENOR DR STE 650 ORLANDO, FL PHONE: (407) FAX: (407) PROVIDER #: ORMOND BEACH DIALYSIS 495 S NOVA RD SUITE 109 ORMOND BEACH, FL PHONE: (386) FAX: (386) PROVIDER #: PALM BAY KIDNEY CENTER 220 MEDPLEX PKWY NE PALM BAY, FL PHONE: (321) FAX: (321) PROVIDER #: PALM BREEZE DIALYSIS TAMIAMI TRAIL SUITE G NORTH PORT, FL PHONE: (941) FAX: (941) PROVIDER #: PALM COAST DIALYSIS 13 KINGSWOOD DR SUITE A PALM COAST, FL PHONE: (386) FAX: (386) PROVIDER #: PANAMA CITY DIALYSIS CENTER 615 HWY 231 PANAMA CITY, FL PHONE: (850) FAX: (850) PROVIDER #: PDA STAFF ASSIST PROGRAM 4802 GRAND BLVD. NEW PORT RICHEY, FL PHONE: (727) FAX: (727) PROVIDER #: PROVIDER #: PEMBROKE PINES ARTIFICIAL KIDNEY CTR PEMBROKE ROAD PEMBROKE PINES, FL PHONE: (954) FAX: (954) PERRY DIALYSIS 118 WEST MAIN PERRY, FL PHONE: (850) FAX: (850) PROVIDER #: PINE ISLAND KIDNEY CENTER 1871 N PINE ISLAND RD PLANTATION, FL PHONE: (954) FAX: (954) PROVIDER #: PINELLAS WEST SHORE DIALYSIS TH STREET N SAINT PETERSBURG, FL PHONE: (727) FAX: (727) PROVIDER #: PROVIDER #: PINNACLE DIALYSIS OF BOCA RATON 2900 N MILITARY TRAIL SUITE 195 BOCA RATON, FL PHONE: (561) FAX: (561) PLANT CITY DIALYSIS 1211 W REYNOLDS ST STE 1 PLANT CITY, FL PHONE: (813) FAX: (813) PROVIDER #: PLANTATION DIALYSIS 7061 CYPRESS RD STE 103 PLANTATION, FL PHONE: (954) FAX: (954) PROVIDER #: POINCIANA DIALYSIS 1002 CYPRESS PARKWAY POINCIANA, FL PHONE: (321) FAX: (321) PROVIDER #: PROVIDER #: POMPANO BEACH ARTIFICIAL KIDNEY CENTER 600 SW 3RD ST #1100 POMPANO BEACH, FL PHONE: (954) FAX: (954) PROVIDER #: PORT CHARLOTTE ARTIFICIAL KIDNEY CT 4300 KINGS HWY #406-D17 PORT CHARLOTTE, FL PHONE: (941) FAX: (941) PORT SAINT JOE DIALYSIS 3871 highway 98 E #101 PORT SAINT JOE, FL PHONE: (850) FAX: (850) PROVIDER #: QUINCY DIALYSIS 878 STRONG RD QUINCY, FL PHONE: (850) FAX: (850) PROVIDER #:

10 RAI CARE CENTERS - CLEARWATER 1124 LAKEVIEW RD STE 1 CLEARWATER, FL PHONE: (727) FAX: (727) PROVIDER #: RAI CARE CENTERS - FORT PIERCE 2501 OHIO AVE FORT PIERCE, FL PHONE: (772) FAX: (772) PROVIDER #: RAI CARE CENTERS - HAINES CITY 110 PATTERSON RD HAINES CITY, FL PHONE: (863) FAX: (863) PROVIDER #: RAI CARE CENTERS - LAKE WALES 1348 STATE ROAD 60 E LAKE WALES, FL PHONE: (863) FAX: (863) PROVIDER #: RAI CARE CENTERS - LARGO STARKEY RD SUITE B LARGO, FL PHONE: (727) FAX: (727) PROVIDER #: PROVIDER #: RAI CARE CENTERS - PORT SAINT LUCIE 8661 S US HWY 1 PORT SAINT LUCIE, FL PHONE: (772) FAX: (772) RAI CARE CENTERS - PUNTA GORDA 355 DUPONT ST PUNTA GORDA, FL PHONE: (941) FAX: (941) PROVIDER #: PROVIDER #: RAI CARE CENTERS - ST PETERSBURG TH ST N SAINT PETERSBURG, FL PHONE: (727) FAX: (727) PROVIDER #: RAI CARE CENTERS - WINTER HAVEN 120 BATES AVE SW 170 WINTER HAVEN, FL PHONE: (863) FAX: (863) RAI-S COURTENAY-MERRITT ISLAND 245 S COURTENAY PKWY BLDG A MERRITT ISLAND, FL PHONE: (321) FAX: (321) PROVIDER #: RAI-US 19 NORTH-CLEARWATER US HWY 19 N #1 CLEARWATER, FL PHONE: (727) FAX: (727) PROVIDER #: RAI-WALDEMERE-SARASOTA 1921 WALDEMERE ST STE 107 SARASOTA, FL PHONE: (941) FAX: (941) PROVIDER #: RCG - BAPTIST NORTH 1040 EAST NINE MILE RD PENSACOLA, FL PHONE: (850) FAX: (850) PROVIDER #: RCG - FT WALTON BEACH 925 MAR WALT DR STE 3 FORT WALTON BEACH, FL PHONE: (850) FAX: (850) PROVIDER #: PROVIDER #: RCG - SACRED HEART - ADULT DIALYSIS 5401 CORPORATE WOODS DR STE 850 PENSACOLA, FL PHONE: (850) FAX: (850) PROVIDER #: RCG - SACRED HEART - PED DIALYSIS 5151 N 9TH AVE PENSACOLA, FL PHONE: (850) FAX: (850) REGENCY DIALYSIS CENTER 9535 REGENCY SQUARE BLVD JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: RENAL CARE CENTER - BELLE GLADE 933 SE 1ST ST BELLE GLADE, FL PHONE: (561) FAX: (561) PROVIDER #: PROVIDER #: RENAL CARE CENTER - OKEECHOBEE 201 SW 16TH ST OKEECHOBEE, FL PHONE: (863) FAX: (863) RENAL CARE CENTER - SEBRING 40 MEDICAL CENTER AVE SEBRING, FL PHONE: (863) FAX: (863) PROVIDER #: RENAL CARE CENTER - VERO BEACH 1515 INDIAN RIVER BLVD STE A-101 VERO BEACH, FL PHONE: (772) FAX: (772) PROVIDER #: PROVIDER #: RENAL CARE CENTER - WELLINGTON 9835 LAKE WORTH RD STE 13 LAKE WORTH, FL PHONE: (561) FAX: (561) RENAL CARE GROUP - BREVARD 4940 STACK BLVD SUITE C3-7 MELBOURNE, FL PHONE: (321) FAX: (321) PROVIDER #: RENAL CARE GROUP - CLERMONT 312 MOWHAWK RD CLERMONT, FL PHONE: (352) FAX: (352) PROVIDER #: RENAL CARE GROUP - DESTIN 7720 US HWY 98 SUITE 150 MIRAMAR BEACH, FL PHONE: (850) FAX: (850) PROVIDER #: RENAL CARE GROUP - NAVARRE 8888 NAVARRE PKWY NAVARRE, FL PHONE: (850) FAX: (850) PROVIDER #: PROVIDER #: RENAL CARE GROUP - NORTH TAMPA 4450 FLETCHER AVE STE D TAMPA, FL PHONE: (813) FAX: (813) RENAL CARE GROUP - WEST PALM 1522 N DIXIE HWY WEST PALM BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: PROVIDER #: RENAL CARE GROUP - WEST PENSACOLA 8187 W FAIRFIELD DR SUITE 7A PENSACOLA, FL PHONE: (850) FAX: (850) PROVIDER #: RENAL CARE PARTNERS HOME PROGRAM 4970 SW 52ND ST #304 DAVIE, FL PHONE: (954) FAX: (954)

11 PROVIDER #: RENAL CARE PARTNERS OF DELRAY BEACH LLC JOG ROAD SUITE 104 DELRAY BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: RENOVATION OF LIFE DIALYSIS CENTER COMMERCE WAY 3600 MIAMI LAKES, FL PHONE: (305) FAX: (305) PROVIDER #: RENAL CARE PARTNERS OF WEST PALM BEACH 300 EXECUTIVE CENTER DRIVE #101 WEST PALM BEACH, FL PHONE: (561) FAX: (561) RTC - LEESBURG 801 E DIXIE AVE # A-108 LEESBURG, FL PHONE: (352) FAX: (352) PROVIDER #: PROVIDER #: RENAL CAREPARTNERS AT MEMORIAL WEST LLC 601 N FLAMINGO ROAD STE 109 HOLLYWOOD, FL PHONE: (954) FAX: (954) RTC - MARIANNA 2930 OPTIMIST DR MARIANNA, FL PHONE: (850) FAX: (850) PROVIDER #: RTC - VENICE 816 PINEBROOK RD VENICE, FL PHONE: (941) FAX: (941) PROVIDER #: PROVIDER #: SAINT AUGUSTINE ARTIFICIAL KIDNEY CTR 264 SOUTHPARK CIR E SAINT AUGUSTINE, FL PHONE: (904) FAX: (904) PROVIDER #: SAINT LUKES HOSPITAL - TRANSPLANT CENTER 4500 SAN PABLO RD JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: SAINT MARYS HOSPITAL DIALYSIS UNIT dba SCHWARTZ DIALYSIS TH ST WEST PALM BEACH, FL PHONE: (561) FAX: (561) SANFORD DIALYSIS 1701 W 1ST ST SANFORD, FL PHONE: (407) FAX: (407) PROVIDER #: SANTA ROSA DIALYSIS 5819 HIGHWAY 90 MILTON, FL PHONE: (850) FAX: (850) PROVIDER #: SEBASTIAN DIALYSIS 1424 US HWY 1 SUITE C SEBASTIAN, FL PHONE: (772) FAX: (772) PROVIDER #: SEMINOLE DIALYSIS CENTER PO BOX SAINT PETERSBURG, FL PHONE: (727) FAX: (727) PROVIDER #: SEMINOLE DIALYSIS CENTER PO BOX SAINT PETERSBURG, FL PHONE: (727) FAX: (727) PROVIDER #: PROVIDER #: SHANDS AT UNIV OF FL OUTPATIENT DIALYSIS 2409 SW ARCHER RD GAINESVILLE, FL PHONE: (352) FAX: (352) SHANDS JACKSONVILLE - ESRD 655 W 8TH ST JACKSONVILLE, FL PHONE: (904) FAX: (904) PROVIDER #: PROVIDER #: SHANDS HOSPITAL - PEDIATRIC DIALYSIS 2409 SW ARCHER RD GAINESVILLE, FL PHONE: (352) FAX: (352) SOUTH BEACH DIALYSIS 4701 N MERIDIAN AVE MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: SHANDS HOSPITAL - TRANSPLANT CTR 1600 SW ARCHER RD PO BOX GAINESVILLE, FL PHONE: (352) FAX: (352) PROVIDER #: SOUTH BROWARD ARTIFICIAL KIDNEY CTR 4401 HOLLYWOOD BLVD HOLLYWOOD, FL PHONE: (954) FAX: (954) SOUTH DADE KIDNEY CENTER SW 184 STREET CUTLER BAY, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: SOUTHWEST FLORIDA DIALYSIS CENTER 520 MANATEE AVE EAST BRADENTON, FL PHONE: (941) FAX: (941) ST CLOUD DIALYSIS 4750 OLD CANOE CREEK RD SAINT CLOUD, FL PHONE: (407) FAX: (407) PROVIDER #: ST PETERSBURG DIALYSIS 1117 ARLINGTON AVE N SAINT PETERSBURG, FL PHONE: (727) FAX: (727) PROVIDER #: ST PETERSBURG SOUTH DIALYSIS TH STREET S SAINT PETERSBURG, FL PHONE: (727) FAX: (727) PROVIDER #: SUN CITY CENTER DIALYSIS 783 CORTARO DR RUSKIN, FL PHONE: (813) FAX: (813) PROVIDER #: SUWANNEE RIVER KIDNEY CENTER 319 W WADE ST TRENTON, FL PHONE: (352) FAX: (352) PROVIDER #: TALLAHASSEE DIALYSIS 1607 PHYSICIANS DR TALLAHASSEE, FL PHONE: (850) FAX: (850) PROVIDER #: TALLAHASSEE SOUTH DIALYSIS 2410 S ADAMS ST TALLAHASSEE, FL PHONE: (850) FAX: (850) PROVIDER #:

12 PROVIDER #: TAMARAC ARTIFICIAL KIDNEY CENTER W MCNAB RD TAMARAC, FL PHONE: (954) FAX: (954) TAMARAC KIDNEY CENTER 7059 NW 88TH AVE TAMARAC, FL PHONE: (954) FAX: (954) PROVIDER #: PROVIDER #: TAMPA GENERAL HOSP TRANSPLANT CTR 409 BAYSHORE BLVD TAMPA, FL PHONE: (800) FAX: (813) PROVIDER #: TAMPA GENERAL HOSP TRANSPLANT CTR 409 BAYSHORE BLVD TAMPA, FL PHONE: (800) FAX: (813) THE KIDNEY TREATMENT CENTER N KENDALL DR #131 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: TAMPA GENERAL HOSPITAL ESRD 1 TAMPA GENERAL CIRCLE PO BOX 1289 TAMPA, FL PHONE: (813) FAX: (813) PROVIDER #: PROVIDER #: TITUSVILLE DIALYSIS AND KIDNEY CENTER PO BOX 1648 TITUSVILLE, FL PHONE: (321) FAX: (321) TEMPLE TERRACE DIALYSIS RD ST TEMPLE TERRACE, FL PHONE: (813) FAX: (813) PROVIDER #: PROVIDER #: TREASURE COAST KIDNEY CENTER NORTH 2348 SE OCEAN BLVD STUART, FL PHONE: (772) FAX: (772) UNIVERSAL KIDNEY CENTER INC 4875 NE 20TH TERRACE FORT LAUDERDALE, FL PHONE: (954) FAX: (954) PROVIDER #: PROVIDER #: UNIVERSAL KIDNEY CENTER OF BOYNTON BEACH 4895 WINDWARD PASSAGE DR STE 5 BOYNTON BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: UNIVERSAL KIDNEY CENTER OF DAVIE W STATE ROAD 84 DAVIE, FL PHONE: (954) FAX: (954) PROVIDER #: UNIVERSAL KIDNEY CENTER OF MARGATE-CORAL SPRINGS LLC 2800 N STATE ROAD 7 MARGATE, FL PHONE: (954) FAX: (954) UNIVERSITY OF FLORIDA DIALYSIS 3850 nw 83rd street ste 101 GAINESVILLE, FL PHONE: (352) FAX: (352) VAMC-MIAMI-DIALYSIS UNIT-111C 1201 NW 16TH ST MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: PROVIDER #: 10011F PROVIDER #: UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES MIRAMAR NW 6TH STREET HOLLYWOOD, FL PHONE: (954) FAX: (954) USF DIALYSIS CENTER N 46TH STREET #A100 TAMPA, FL PHONE: (813) FAX: (813) PROVIDER #: PROVIDER #: 10065F VAMC-PALM BEACH DIALYSIS - 118CCP 7305 N MILITARY TRL - DIALYSIS DEPT WEST PALM BEACH, FL PHONE: (561) FAX: (561) PROVIDER #: UNIVERSITY ARTIFICIAL KIDNEY CENTER LLC 7950 SW 30TH STREET DAVIE, FL PHONE: (954) FAX: (954) VAMC-BAY PINES PO BOX 5005 NURSING 118 PTS 36 4D 115 DIALYSIS BAY PINES, FL PHONE: (727) FAX: (727) PROVIDER #: 10009F PROVIDER #: 10061F VAMC-TAMPA-NEPHROLOGY SECTION-111F BRUCE B DOWNS BLVD #111 TAMPA, FL PHONE: (813) FAX: (813) VENICE KIDNEY CENTER 1120 INDIAN HILLS BLVD VENICE, FL PHONE: (941) FAX: (941) PROVIDER #: VENTURE DIALYSIS CENTER NE 2ND AVE STE 205 MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: WATSON CLINIC KIDNEY CENTER 1550 LAKELAND HILLS BLVD LAKELAND, FL PHONE: (863) FAX: (863) PROVIDER #: WESLEY CHAPEL DIALYSIS 2255 GREEN HEDGES WAY ZEPHYRHILLS, FL PHONE: (813) FAX: (813) PROVIDER #: PROVIDER #: WEST BEACH DIALYSIS CENTER SUITE 102 PANAMA CITY BEACH PKWY PANAMA CITY, FL PHONE: (850) FAX: (850) WEST BOCA DIALYSIS CENTER HAMPTON DR BOCA RATON, FL PHONE: (561) FAX: (561) PROVIDER #: WEST FLORIDA DIALYSIS 8333 N DAVIS HWY PENSACOLA, FL PHONE: (850) FAX: (850) PROVIDER #: WEST KENDALL DIALYSIS CENTER SW 131ST AVE MIAMI, FL PHONE: (305) FAX: (305) PROVIDER #: WEST PENSACOLA DIALYSIS CENTER 598 FAIRFIELD DRIVE PENSACOLA, FL PHONE: (850) FAX: (850) PROVIDER #:

13 WEST TALLAHASSEE DIALYSIS 2645 W TENNESSEE ST SUITE 8 &14 TALLAHASSEE, FL PHONE: (850) FAX: (850) PROVIDER #: WEST TAMPA DIALYSIS 4515 GEORGE RD SUITE 300 TAMPA, FL PHONE: (813) FAX: (813) PROVIDER #: PROVIDER #: WESTERN COMMUNITY DIALYSIS CENTER LLC OKEECHOBEE BLVD ROYAL PALM BEACH, FL PHONE: (561) FAX: (561) WESTON DIALYSIS CENTER 2685 EXECUTIVE PARK DRIVE WESTON, FL PHONE: (954) FAX: (954) PROVIDER #: PROVIDER #: WINTER GARDEN DIALYSIS 1222 WINTER GARDEN VINELAND ROAD BLDG 3 SUITE 100 WINTER GARDEN, FL PHONE: (407) FAX: (407) WINTER HAVEN DIALYSIS 1625 UNITY WAY WINTER HAVEN, FL PHONE: (863) FAX: (863) PROVIDER #: WINTER PARK DIALYSIS 3727 N GOLDENROD RD WINTER PARK, FL PHONE: (407) FAX: (407) PROVIDER #: WINTER PARK HEMO DIALYSIS 4100 METRIC DRIVE STE 300 WINTER PARK, FL PHONE: (407) FAX: (407) PROVIDER #: WINTER PARK HOME PD DIALYSIS 4100 METRIC DRIVE #200 WINTER PARK, FL PHONE: (407) FAX: (407) PROVIDER #: ZEPHYRHILLS DIALYSIS 6610 STADIUM DRIVE ZEPHYRHILLS, FL PHONE: (813) FAX: (813) PROVIDER #: