OrganizationActive
Prime Dialysis, LLC
NPI 1063941565 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Winter Garden, FL
Provider details
- NPI number
- 1063941565
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mimi Barrera, Managing Member(305) 778-8277
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12200 West Colonial Drive
Suite 102
Winter Garden, FL 34787
Phone: (954) 781-7741
Fax: (888) 349-8679
Street-level locationGet directions
Mailing address
100 East Sample Road
Pompano Beach, FL 33064
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2017-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.