Organization
TOTAL RENAL CARE INC
Active
Other names
Advanced Dialysis Center of Fort Lauderdale
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
911 E OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-2725
(954) 318-7000
(954) 318-7001
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
003368400
—
FL
Enumeration date
11/10/2010
Last updated
09/08/2025
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