Organization · Type 2 NPI

Fresenius Medical Care Lady Lake, LLC

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

NPI number 1649058629 Active

Practice location

310 Longview Ave
Lady Lake, FL 32159-4504

Fax (352) 674-1154

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

Bio-Medical Applications of Florida, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Lady Lake, FL NPI 1851819254

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

See all in Lady Lake →

NPI record

NPI: 1649058629
Entity type: Organization (Type 2)
Issued: Sep 20, 2023
Last updated: Sep 1, 2026
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

<unavail>
Fresenius Kidney Care Lady Lake · doing business as
Fresenius Kidney Care Lady Lake · doing business as

Authorized official

Denise Wright
Vice President
(781) 676-5200

Verify this record

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.

Is this your record? How to update it.

About NPI 1649058629

Fresenius Medical Care Lady Lake, LLC's National Provider Identifier is 1649058629, issued on Sep 20, 2023. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lady Lake, FL. The record was last updated on Sep 1, 2026.