Organization
TOTAL RENAL CARE INC
Active
Other names
Downtown Pensacola 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
700 E CERVANTES ST, STE A, PENSACOLA, FL 32501-3489
(850) 433-1534
(850) 433-1538
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
—
008393400
—
FL
Enumeration date
03/27/2012
Last updated
01/29/2025
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