TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Jacksonville, FL. TOTAL RENAL CARE INC NPI is 1255587531. The provider is registered as an organization entity type.
The provider Is Doing Business As Jacksonville South Dialysis Center.
The provider's business location address is:
14965 OLD SAINT AUGUSTINE RD
UNIT 114
JACKSONVILLE, FL
ZIP 32258-481
Phone: (904) 880-9494
Fax: (904) 880-0295
The provider's authorized official is Samuel T Wey .
The authorized official title is VP, LICENSURE & CERTIFICATIONLicensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 10D1090544 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/18/2008 and was last updated on 1/10/2024.