Renal Care Group of the Southeast, Inc.

NPI #1053587691 in Defuniak Springs, Florida

Provider Information

NPI Number
1053587691
Entity Type
Organization
Organization Name
Renal Care Group of the Southeast, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 4, 2008
Last Updated
Oct 16, 2023

Practice Location

Address
43 SHOEMAKER DR
State
Florida
ZIP Code
32433-4046
Phone
(850) 892-2119

Authorized Official

Name
BARRY L. BLANTON
Title
VICE PRESIDENT
Phone
(781) 699-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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