Organization
RAI CARE CENTERS OF FLORIDA II, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS MEDICAL CARE LAKE WALES
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
1344 HIGHWAY 60 E, LAKE WALES, FL 33853-4322
(863) 676-9510
(863) 678-3814
Mailing address
1344 HIGHWAY 60 E, LAKE WALES, FL 33853-4322
(863) 676-9510
(863) 678-3814
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
—
018298300
—
FL
01
—
7172837
AETNA
FL
05
—
891160600
—
FL
01
—
V4U
BCBS
FL
Enumeration date
08/07/2006
Last updated
10/24/2023
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