Organization
RAI CARE CENTERS OF FLORIDA I, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RAI - S. US HWY 1 - PORT ST. LUCIE
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
8661 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-3331
(772) 807-7229
(772) 807-7266
Mailing address
8661 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-3331
(772) 807-7229
(772) 807-7266
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
01
—
7405840
AETNA
FL
05
—
891165700
—
FL
01
—
V1U
BCBS
FL
Enumeration date
08/07/2006
Last updated
10/17/2023
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