Organization · Type 2 NPI
Renal Treatment Centers-Southeast, Lp.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Marianna, FL
NPI number
1861469983
Active
Practice location
2930 Optimist Dr
Marianna, FL 32448-7703
Fax (850) 482-5329
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 Marianna
About NPI 1861469983
Renal Treatment Centers-Southeast, Lp.'s National Provider Identifier is 1861469983, issued on Mar 7, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Marianna, FL. The record was last updated on Apr 9, 2025.