Organization
TOTAL RENAL CARE INC
Active
Other names
South Florida Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1 OAKWOOD BLVD, STE 100, HOLLYWOOD, FL 33020-1937
(954) 894-7500
(954) 894-7700
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
—
006741300
—
FL
Enumeration date
04/16/2012
Last updated
12/17/2024
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