RENAL TREATMENT CENTERS-SOUTHEAST LP. NPI 1417925025

NPI Information

RENAL TREATMENT CENTERS-SOUTHEAST, LP. is an end-stage renal disease (esrd) treatment clinic center in Ocala, FL. RENAL TREATMENT CENTERS-SOUTHEAST, LP. NPI is 1417925025. The provider is registered as an organization entity type.
The provider Is Doing Business As Ocala Regional Kidney Center West.

The provider's business location address is:

8585 SW HIGHWAY 200
STE 19
OCALA, FL
ZIP 34481-642
Phone: (352) 854-5011
Fax: (352) 854-6299

The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 10D0919190 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 8/22/2023.

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:

Other Identifiers

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

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