Organization
TOTAL RENAL CARE INC
Active
Other names
Gulf Coast Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3300 TAMIAMI TRL STE 101A, PORT CHARLOTTE, FL 33952
(941) 625-9985
(941) 629-1522
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
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
—
211397009
—
FL
Enumeration date
03/09/2006
Last updated
02/16/2021
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