Organization · Type 2 NPI

Renal Treatment Centers Southeast LP

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

NPI number 1629046362 Active

Practice location

320 Redstone Ave W
Crestview, FL 32536-6433

Call (850) 683-5700 Map

Fax (850) 683-5704

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...

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

Renal Care Group of the Southeast, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Crestview, FL NPI 1801908645

See all in Crestview →

NPI record

NPI: 1629046362
Entity type: Organization (Type 2)
Issued: Mar 9, 2006
Last updated: Apr 16, 2020
Status: Active

Other names

<unavail>
North Okaloosa Dialysis · doing business as
North Okaloosa Dialysis · doing business as

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4501

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About NPI 1629046362

Renal Treatment Centers Southeast LP's National Provider Identifier is 1629046362, issued on Mar 9, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Crestview, FL. The record was last updated on Apr 16, 2020.