Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jacksonville, FL

NPI number 1255587531 Active

Practice location

14965 Old Saint Augustine Rd, Unit 114
Jacksonville, FL 32258-9481

Call (904) 880-9494 Map

Fax (904) 880-0295

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Trox Pharmacy, LLCCommunity/Retail Pharmacy Jacksonville, FL NPI 1104375971

Other end-stage renal disease (esrd) treatment clinic/center providers in Jacksonville

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NPI record

NPI: 1255587531
Entity type: Organization (Type 2)
Issued: Aug 18, 2008
Last updated: Jun 13, 2025
Status: Active

Other names

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Jacksonville South Dialysis Center · doing business as
Jacksonville South Dialysis Center · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

Verify this record

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About NPI 1255587531

Total Renal Care Inc's National Provider Identifier is 1255587531, issued on Aug 18, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 13, 2025.