Organization
TOTAL RENAL CARE INC
Active
Other names
West Beach Dialysis 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
16201 PANAMA CITY BEACH PKWY, STE 102, PANAMA CITY BEACH, FL 32413-5307
(850) 233-0837
(850) 233-8436
Mailing address
5200 VIRGINIA WAY, ATT: 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
—
001154900
—
FL
Enumeration date
10/02/2007
Last updated
05/13/2025
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