Organization
RAI CARE CENTERS OF FLORIDA II, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RAI-9th Street North-St. Petersburg
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
MR. MARK R. FAWCETT (VP AND TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1101 9TH STREET NORTH, ST. PETERSBURG, FL 33701-1515
(727) 895-1472
(727) 822-0268
Mailing address
1101 9TH STREET NORTH, ST. PETERSBURG, FL 33701-1515
(727) 895-1472
(727) 822-0268
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
—
203275837D
HUMANA
FL
01
—
5401656
AENTA
FL
05
—
891158400
—
FL
01
—
V1W
BCBS
FL
Enumeration date
08/07/2006
Last updated
03/04/2014
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