Organization
RAI CARE CENTERS OF FLORIDA I, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RAI - US 19 N - PALM HARBOR/CLEARWATER
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
29296 US HIGHWAY 19 N STE 1, CLEARWATER, FL 33761-2104
(727) 785-9036
(727) 772-8027
Mailing address
29296 US HIGHWAY 19 N STE 1, CLEARWATER, FL 33761-2104
(727) 785-9036
(727) 772-8027
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
—
5674393
AETNA
FL
05
—
891164900
—
FL
01
—
V1Q
BCBS
FL
Enumeration date
08/07/2006
Last updated
10/17/2023
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