Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Augustine, FL

NPI number 1962768242 Active

Practice location

264 Southpark Cir E
St. Augustine, FL 32086-5137

Call (904) 808-0445 Map

Fax (904) 808-0446

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...

Another provider at this address

St. Augustine Artificial Kidney Center, Ltd.End-Stage Renal Disease (ESRD) Treatment Clinic/Center St. Augustine, FL NPI 1013997600

Other end-stage renal disease (esrd) treatment clinic/center providers in St. Augustine

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NPI record

NPI: 1962768242
Entity type: Organization (Type 2)
Issued: Apr 11, 2012
Last updated: Apr 18, 2024
Status: Active

Other names

<unavail>
St. Augustine Dialysis · doing business as
St. Augustine Dialysis · doing business as

Authorized official

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

Verify this record

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About NPI 1962768242

Total Renal Care Inc's National Provider Identifier is 1962768242, issued on Apr 11, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Augustine, FL. The record was last updated on Apr 18, 2024.