Organization
TOTAL RENAL CARE INC
Active
Other names
Pinnacle Dialysis of Boca Raton
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2900 N MILITARY TRL, STE 195, BOCA RATON, FL 33431-6308
(561) 241-6667
(561) 989-8550
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
—
001532600
—
FL
Enumeration date
12/02/2008
Last updated
06/14/2024
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