Organization
RENAL CARE GROUP OF THE SOUTHEAST, INC.
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS MEDICAL CARE DEFUNIAK SPRINGS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
43 SHOEMAKER DR, DEFUNIAK SPRINGS, FL 32433-4046
(850) 892-2119
(850) 892-2314
Mailing address
43 SHOEMAKER DR, DEFUNIAK SPRINGS, FL 32433-4046
(850) 892-2119
(850) 892-2314
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2008
Last updated
10/16/2023
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