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Organization

TOTAL RENAL CARE INC

Active
Other names
Memorial Plaza Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization

Contact information

Practice address
3901 UNIVERSITY BLVD S, STE 111, JACKSONVILLE, FL 32216-4374
(904) 731-0247
(904) 731-4046
Mailing address
5200 VIRGINIA WAY, 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
004551200
FL
Enumeration date
08/03/2011
Last updated
04/22/2022
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