Total Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Plantation, FL. Organization (NPI-2).
NPI number1780652016
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1780652016
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Renal Care INC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2006
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Pine Island Kidney Center (Doing Business As)
Practice location
1871 N Pine Island RdPlantation, FL 33322-5208
Phone 954-916-8958 · Fax 954-916-8960
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Phone 615-320-4593 · Fax 800-293-5872
Authorized official
John D Winstel
Chief Accounting Officer
2537334501
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