Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1295021095 Active

Practice location

3187 US Highway 98 N
Lakeland, FL 33805-2103

Call (863) 603-2130 Map

Fax (863) 686-5687

Mailing address

5200 Virginia Way, 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...

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NPI record

NPI: 1295021095
Entity type: Organization (Type 2)
Issued: Jun 21, 2011
Last updated: Nov 12, 2024
Status: Active

Other names

<unavail>
Lake Vista Dialysis · doing business as
Lake Vista Dialysis · doing business as

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295021095

Total Renal Care Inc's National Provider Identifier is 1295021095, issued on Jun 21, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lakeland, FL. The record was last updated on Nov 12, 2024.