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Renal Care Group Of The Southeast, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Crestview, Florida
NPI 1801908645

Renal Care Group Of The Southeast, Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Crestview, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Renal Care Group Of The Southeast, Inc. practices in Crestview, FL. The NPI Number for Renal Care Group Of The Southeast, Inc. is 1801908645 and holds a License No. (Florida).

The current practice location address for Renal Care Group Of The Southeast, Inc. is 223 E Redstone Ave, Crestview, FL and can be reached out via phone at 850-603-6295 and via fax at 850-603-6300.

Location: 223 E Redstone Ave, Crestview, FL, 32539-5373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801908645
Provider Name
Renal Care Group Of The Southeast, Inc.
Credential
Provider Entity Type
Organization
Address
223 E Redstone Ave, Crestview, FL, 32539-5373
Phone Number
850-603-6295
Fax Number
850-603-6300
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200496801 05 FL
institution
Provider Business Practice Location Address Details
Address
223 E Redstone Ave
City
Crestview
State
Florida
Zip
32539-5373
Phone Number
850-603-6295
Fax Number
850-603-6300
person
Provider Business Mailing Address Details
Address
223 E Redstone Ave
City
Crestview
State
Florida
Zip
32539-5373
Phone Number
850-603-6295
Fax Number
850-603-6300
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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