FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC NPI 1043488695

NPI Information

NPI: 1043488695
Provider Name: FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: CKD SERVICES OF PT. ST. LUCIE
Address: 1680 SE LYNGATE DR
STE. 101 CKD SERVICES OF PT. ST. LUCIE
PORT SAINT LUCIE, FL
ZIP 34952
Phone: (772) 335-2407

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NPI Details

FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC is an end-stage renal disease (esrd) treatment clinic center in Port Saint Lucie, FL. FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC NPI is 1043488695. The provider is registered as an organization entity type.
The provider Is Doing Business As Ckd Services Of Pt. St. Lucie.

The provider's business location address is:

1680 SE LYNGATE DR
STE. 101 CKD SERVICES OF PT. ST. LUCIE
PORT SAINT LUCIE, FL
ZIP 34952-300
Phone: (772) 335-2407
Fax: (772) 335-8509

The provider's authorized official is Mark Fawcett .
The authorized official title is Vice President, Treasurer and has the following contact phone number (781) 699-2668.

The enumeration date for this NPI number is 2/18/2008 and was last updated on 10/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AO192	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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