Organization
TOTAL RENAL CARE INC
Active
Other names
Gulf Breeze Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1519 MAIN ST, DUNEDIN, FL 34698-4650
(727) 738-4425
(727) 736-3353
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
—
212516100
—
FL
Enumeration date
03/10/2006
Last updated
09/30/2024
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