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Renal Care Group Of The Southeast, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Walton Beach, Florida
NPI 1447362280

Renal Care Group Of The Southeast, Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Fort Walton Beach, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Renal Care Group Of The Southeast, Inc. practices in Fort Walton Beach, FL. The NPI Number for Renal Care Group Of The Southeast, Inc. is 1447362280 and holds a License No. (Florida).

The current practice location address for Renal Care Group Of The Southeast, Inc. is 925 Mar Walt Dr Ste 3, Fort Walton Beach, FL and can be reached out via phone at 850-864-4411 and via fax at 850-864-1279.

Location: 925 Mar Walt Dr Ste 3, Fort Walton Beach, FL, 32547-6609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447362280
Provider Name
Renal Care Group Of The Southeast, Inc.
Credential
Provider Entity Type
Organization
Address
925 Mar Walt Dr Ste 3, Fort Walton Beach, FL, 32547-6609
Phone Number
850-864-4411
Fax Number
850-864-1279
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212067400 05 FL
institution
Provider Business Practice Location Address Details
Address
925 Mar Walt Dr Ste 3
City
Fort Walton Beach
State
Florida
Zip
32547-6609
Phone Number
850-864-4411
Fax Number
850-864-1279
person
Provider Business Mailing Address Details
Address
925 Mar Walt Dr Ste 3
City
Fort Walton Beach
State
Florida
Zip
32547-6609
Phone Number
850-864-4411
Fax Number
850-864-1279
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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