Total Renal Care Crystal River Dialysis Lc

NPI #1689641102 in Crystal River, Florida

Provider Information

NPI Number
1689641102
Entity Type
Organization
Organization Name
Total Renal Care Crystal River Dialysis Lc
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Mar 2, 2006
Last Updated
Feb 27, 2025

Practice Location

Address
7435 W GULF TO LAKE HWY
State
Florida
ZIP Code
34429-7834
Phone
(352) 564-8400

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

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

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