Organization
TOTAL RENAL CARE, INC
Active
Other names
Dunn Avenue Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1215 DUNN AVE, STE 8, JACKSONVILLE, FL 32218-4897
(904) 757-3540
(904) 751-3499
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
—
014275100
—
FL
Enumeration date
07/03/2014
Last updated
11/12/2025
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