RAI CARE CENTERS OF FLORIDA II LLC NPI 1235148297

NPI Information

NPI: 1235148297
Provider Name: RAI CARE CENTERS OF FLORIDA II, LLC

Doing Business As: FRESENIUS MEDICAL CARE HAINES CITY DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
110 PATTERSON RD
HAINES CITY, FL
ZIP 33844
Phone: (863) 422-0800
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RAI CARE CENTERS OF FLORIDA II, LLC is an end-stage renal disease (esrd) treatment clinic center in Haines City, FL. RAI CARE CENTERS OF FLORIDA II, LLC NPI is 1235148297. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Haines City Dialysis.

The provider's business location address is:

110 PATTERSON RD
HAINES CITY, FL
ZIP 33844-840
Phone: (863) 422-0800
Fax: (863) 422-0323

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 10D0964890 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 8/11/2021.

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	891159200	MEDICAID	FLORIDA
2	VC5	OTHER	FLORIDA	BCBS
3	7423305	OTHER	FLORIDA	AETNA
4	10-2762	OTHER	CALIFORNIA	NORIDIAN

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: 11/14/2023

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