Organization
TOTAL RENAL CARE, INC.
Active
Other names
Beach Boulevard Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER, TREASURER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
14444 BEACH BLVD, STE B, JACKSONVILLE, FL 32250-2010
(904) 992-9254
(904) 992-8835
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
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
—
013841600
—
FL
Enumeration date
01/03/2014
Last updated
02/16/2021
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