Organization
FRESENIUS MEDICAL CARE THE VILLAGES, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
Fresenius Kidney Care Villages Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1585 SANTA BARBARA BLVD STE A, LADY LAKE, FL 32159-6820
(352) 561-7600
(352) 648-5002
Mailing address
1585 SANTA BARBARA BLVD STE A, LADY LAKE, FL 32159-6820
(352) 561-7600
(352) 648-5002
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
—
121353800
—
FL
Enumeration date
04/12/2023
Last updated
10/11/2024
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