Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1376781989 Active

Practice location

252 State Road 436
Casselberry, FL 32707-4943

Call (689) 223-5334 Map

Fax (689) 223-5358

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: 1376781989
Entity type: Organization (Type 2)
Issued: Feb 4, 2009
Last updated: Dec 28, 2023
Status: Active

Other names

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Casselberry Dialysis · doing business as
Casselberry 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 1376781989

Total Renal Care Inc's National Provider Identifier is 1376781989, issued on Feb 4, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Casselberry, FL. The record was last updated on Dec 28, 2023.