Organization
TOTAL RENAL CARE INC
Active
Other names
Cape Coral South Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER, TREASURER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3040 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7232
(239) 549-0339
(239) 549-1349
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
—
8927430 00
—
FL
Enumeration date
07/19/2006
Last updated
05/18/2020
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