Organization
TOTAL RENAL CARE INC
Active
Other names
Hernando 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
2985 LANDOVER BLVD, SPRING HILL, FL 34608-7258
(352) 683-3630
(352) 683-8892
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, 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
—
208940800
—
FL
Enumeration date
03/03/2006
Last updated
09/11/2024
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