Renal Care Group Of The Southeast, Inc. in Fort Walton Beach - End-stage Renal Disease (esrd) Treatment

Renal Care Group Of The Southeast, Inc. - NPI 1447362280

Renal Care Group Of The Southeast, Inc. is a End-stage Renal Disease (esrd) Treatment in Fort Walton Beach, Florida. Renal Care Group Of The Southeast, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Care Group Of The Southeast, Inc. is 1447362280. The last update date is 2023-10-16.

Renal Care Group Of The Southeast, Inc.'s current location address is 925 Mar Walt Dr Ste 3, Fort Walton Beach, Florida. You can contact this provider via phone number 8508644411 and fax number 8508641279. The mailing address for Renal Care Group Of The Southeast, Inc. is 925 Mar Walt Dr Ste 3, Fort Walton Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Renal Care Group Of The Southeast, Inc.
Address 925 Mar Walt Dr Ste 3, Fort Walton Beach, Florida
Phone Number 8508644411
Fax Number 8508641279
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1447362280
Provider Enumeration Date 2006-08-31
Last Updated Date 2023-10-16

Provider Mailing Address Detail

Address 925 Mar Walt Dr Ste 3
City Fort Walton Beach
State Florida (FL)
Post Code 325476609
Phone Number 8508644411
Fax Number 8508641279

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
212067400 FL --

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FAQs about Renal Care Group Of The Southeast, Inc.

What is the unique 10-digit identifier code issued to Renal Care Group Of The Southeast, Inc. by the Centers for Medicare & Medicaid Services?

The Renal Care Group Of The Southeast, Inc. has been assigned the NPI (National Provider Identifier) 1447362280 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Renal Care Group Of The Southeast, Inc.'s facilities are situated?

The facilities of Renal Care Group Of The Southeast, Inc. are physically located at the following address: 925 Mar Walt Dr Ste 3, Fort Walton Beach, FL, 325476609.

What is Renal Care Group Of The Southeast, Inc.'s area of expertise and its corresponding taxonomy classification?

The Renal Care Group Of The Southeast, Inc.'s field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.

When was the Renal Care Group Of The Southeast, Inc.'s 1447362280 issued?

The Renal Care Group Of The Southeast, Inc.'s 1447362280 was issued on 2006-08-31.

When was the information regarding Renal Care Group Of The Southeast, Inc. most recently updated?

The details pertaining to the Renal Care Group Of The Southeast, Inc., including its address, specialty, and other relevant information, were last refreshed on 2023-10-16.

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