Sunshine State Dialysis

LBN: Total Renal Care Inc
Sunshine State Dialysis is an health care organization with primary practice located at 2710 Allen Rd , Tallahassee FL 32312-2607. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Total Renal Care Inc can be contacted via phone (850) 297-2019, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2710 Allen Rd Tallahassee FL 32312-2607
Phone: (850) 297-2019
Fax: (850) 523-7842
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1043707730
LBN Legal business name Total Renal Care Inc
DBA Doing business as Sunshine State Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2018
Last updated Oct 9th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043707730 NPPES
Florida MEDICAID 101782200

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