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TOTAL RENAL CARE INC NPI 1316229727


NPI Information

NPI: 1316229727
Provider Name: TOTAL RENAL CARE INC

Doing Business As: DORAL KIDNEY CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7755 NW 48TH ST
STE 120
DORAL, FL
ZIP 33166
Phone: (305) 436-5279
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Doral, FL. TOTAL RENAL CARE INC NPI is 1316229727. The provider is registered as an organization entity type.
The provider Is Doing Business As Doral Kidney Center.

The provider's business location address is:

7755 NW 48TH ST
STE 120
DORAL, FL
ZIP 33166-401
Phone: (305) 436-5279
Fax: (305) 436-8087

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The enumeration date for this NPI number is 9/12/2011 and was last updated on 11/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007669200MEDICAIDFLORIDA

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: 4/28/2024

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