Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP
Active
Other names
Aventura Kidney 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
22 SW 11TH ST, FL 2, HALLANDALE BEACH, FL 33009-7065
(954) 458-0887
(954) 458-0948
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
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
—
001172900
—
FL
Enumeration date
04/04/2008
Last updated
01/12/2024
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