Organization · Type 2 NPI

Renal Treatment Centers-Southeast, Lp.

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

NPI number 1982671004 Active

Practice location

8425 US Highway 441, Ste 104
Leesburg, FL 34788-4038

Call (352) 435-0082 Map

Fax (352) 435-0380

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: 1982671004
Entity type: Organization (Type 2)
Issued: Mar 7, 2006
Last updated: Apr 2, 2026
Status: Active

Other names

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Leesburg Dialysis Center · doing business as
Leesburg Dialysis Center · 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 1982671004

Renal Treatment Centers-Southeast, Lp.'s National Provider Identifier is 1982671004, 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 Leesburg, FL. The record was last updated on Apr 2, 2026.