Organization
TOTAL RENAL CARE INC
Active
Other names
USF Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
10770 N 46TH ST STE A100, TAMPA, FL 33617-3465
(813) 632-7918
(813) 632-7952
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
—
001529100
—
FL
Enumeration date
07/02/2009
Last updated
03/13/2025
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