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RAI CARE CENTERS OF FLORIDA II LLC NPI 1811099914


NPI Information

NPI: 1811099914
Provider Name: RAI CARE CENTERS OF FLORIDA II, LLC

Doing Business As: FRESENIUS MEDICAL CARE WINTER HAVEN

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D0877289

Address:
1200 E LAKE SILVER DR NE
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 299-0007
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RAI CARE CENTERS OF FLORIDA II, LLC is an end-stage renal disease (esrd) treatment clinic center in Winter Haven, FL. RAI CARE CENTERS OF FLORIDA II, LLC NPI is 1811099914. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Winter Haven.

The provider's business location address is:

1200 E LAKE SILVER DR NE
WINTER HAVEN, FL
ZIP 33881-100
Phone: (863) 299-0007
Fax: (863) 299-0022

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 10D0877289 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 10/17/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1891161400MEDICAIDFLORIDA
2V4NOTHERFLORIDABCBS
37916943OTHERFLORIDAAETNA

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: 5/5/2024

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