Organization
FRESENIUS MEDICAL CARE FOUR CORNERS, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE FOUR CORNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
503 CAGAN VIEW RD STE 300, CLERMONT, FL 34714-6468
(352) 394-3003
(352) 243-2350
Mailing address
503 CAGAN VIEW RD STE 300, CLERMONT, FL 34714-6468
(352) 394-3003
(352) 243-2350
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
—
104452300
—
FL
Enumeration date
01/23/2019
Last updated
09/25/2024
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