Organization
TOTAL RENAL CARE INC
Active
Other names
South Broward Artificial 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
4401 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6609
(954) 962-2211
(954) 964-3546
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
—
1312464
—
MA
05
—
212284703
—
FL
Enumeration date
03/11/2006
Last updated
03/25/2026
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