Organization
TOTAL RENAL CARE INC
Active
Other names
Pinellas West Shore 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
3451 66TH ST N, STE A, SAINT PETERSBURG, FL 33710-1568
(727) 345-8389
(727) 345-8410
Mailing address
5200 VIRGINIA WAY, ATT: 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
—
002330800
—
FL
Enumeration date
08/18/2009
Last updated
05/09/2025
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