Organization
TOTAL RENAL CARE INC
Active
Other names
Lake Griffin East Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
401 E NORTH BLVD, LEESBURG, FL 34748-5262
(352) 315-0062
(352) 315-0089
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
—
000102900
—
FL
Enumeration date
06/21/2006
Last updated
11/24/2020
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