Organization
TOTAL RENAL CARE INC
Active
Other names
Cape Coral North Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1315 SE 8TH TER, CAPE CORAL, FL 33990-3213
(239) 772-8599
(239) 772-9421
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
—
003485400
—
FL
Enumeration date
09/27/2010
Last updated
01/21/2025
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