Organization
TOTAL RENAL CARE INC
Active
Other names
Gateway 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
5705 LEE BLVD STE 16, LEHIGH ACRES, FL 33971-6342
(239) 479-5251
(239) 479-5275
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
—
002298000
—
FL
Enumeration date
05/28/2009
Last updated
10/25/2022
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