FRESENIUS MEDICAL CARE FOUR CORNERS LLC NPI 1477017515

NPI Information

FRESENIUS MEDICAL CARE FOUR CORNERS, LLC is an end-stage renal disease (esrd) treatment clinic center in Clermont, FL. FRESENIUS MEDICAL CARE FOUR CORNERS, LLC NPI is 1477017515. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Four Corners.

The provider's business location address is:

503 CAGAN VIEW RD STE 300
CLERMONT, FL
ZIP 34714-468
Phone: (352) 394-3003
Fax: (352) 243-2350

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 10D2163250 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2019 and was last updated on 8/18/2021.

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:

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