Organization
NEW SMYRNA BEACH ARTIFICIAL KIDNEY, LC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care New Smyrna Beach Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
821 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 409-8855
(386) 409-8755
Mailing address
424 CHURCH ST, SUITE 1900, NASHVILLE, TN 37219-2301
(615) 234-1160
(615) 234-2440
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
—
010428700
—
FL
05
—
212020800
—
FL
01
—
V7L
BC/BS PROVIDER NO.
FL
Enumeration date
01/19/2006
Last updated
03/31/2016
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