Organization
RENTAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Fort Pierce Artificial Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
1801 S 23RD ST, STE 1, FORT PIERCE, FL 34950-4830
(772) 460-6199
(772) 460-7715
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2006
Last updated
08/15/2007
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