Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Ocala Regional Kidney Center South
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
13940 N US HIGHWAY 441, BLDG 400, LADY LAKE, FL 32159-8953
(352) 751-1240
(352) 751-1250
Mailing address
5200 VIRGINIA WAY, 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
—
890018300
—
FL
Enumeration date
03/09/2006
Last updated
03/25/2026
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