Organization
RAI CARE CENTERS OF FLORIDA II, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS MEDICAL CARE WINTER HAVEN
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1200 E LAKE SILVER DR NE, WINTER HAVEN, FL 33881-4100
(863) 299-0007
(863) 299-0022
Mailing address
1200 E LAKE SILVER DR NE, WINTER HAVEN, FL 33881-4100
(863) 299-0007
(863) 299-0022
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
01
—
7916943
AETNA
FL
05
—
891161400
—
FL
01
—
V4N
BCBS
FL
Enumeration date
09/01/2006
Last updated
10/17/2023
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