Organization
TOTAL RENAL CARE INC
Active
Other names
Port Charlotte Artificial Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4300 KINGS HWY, STE 406, PORT CHARLOTTE, FL 33980-2990
(941) 625-2822
(941) 625-9877
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211397010
—
FL
Enumeration date
03/11/2006
Last updated
05/12/2025
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