Organization
ADVANCED RENAL CARE, INC.
Active
Organization
ADVANCED RENAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY ROBERT DENNISON JR. MD (PRESIDENT)
(813) 874-2700
Entity
Organization
Contact information
Practice address
3614 W KENNEDY BLVD, TAMPA, FL 33609-2852
(813) 874-2700
(813) 874-2788
Mailing address
3614 W KENNEDY BLVD, TAMPA, FL 33609-2852
(813) 874-2700
(813) 874-2788
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
—
890584300
—
FL
Enumeration date
12/06/2006
Last updated
12/13/2011
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