RENAL CARE GROUP OF THE SOUTHEAST, INC. (NPI# 1053587691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053587691 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP OF THE SOUTHEAST, INC. |
| Other Organization Name | FRESENIUS MEDICAL CARE DEFUNIAK SPRINGS |
| Practice Address |
43 Shoemaker Dr Defuniak Springs FL 32433-4046 |
| Practice Telephone | 8508922119 |
| Practice Fax Number | 8508922314 |
| Mailing Telephone | 8508922119 |
| Mailing Fax Number | 8508922314 |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2009-05-05 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Defuniak Springs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992817738 | Renal Care Group of The Southeast, Inc. | Clinic/Center | 1305 W Moreno St, Pensacola, FL 32501-2321 | 2006-08-31 |
| 1629180468 | Renal Care Group of The Southeast, Inc. | Clinic/Center | 6001 Industrial Blvd, Century, FL 32535-3312 | 2006-08-31 |
| 1447362280 | Renal Care Group of The Southeast, Inc. | Clinic/Center | 925 Mar Walt Dr, Suite 2, Fort Walton Beach, FL 32547-6609 | 2006-08-31 |
| Street Address |
43 SHOEMAKER DR |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32433-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811072960 | Alexander Neiman | Internal Medicine | 1031 Us Hwy 90 W, Ste 1 & 2, Defuniak Springs, FL 32433 | 2006-10-26 |
| 1447359401 | Wal-mart Stores East, Lp | Technician/Technologist | 1226 Freeport Road, Defuniak Springs, FL 32433 | 2006-09-22 |
| 1275595738 | Mash Inc | Durable Medical Equipment & Medical Supplies | 379 E Nelson Ave, Defuniak Springs, FL 32433 | 2006-04-03 |
| 1992764005 | Shirley Dianne Guillory | Registered Nurse | 475 State Highway 83, Defuniak Springs, FL 32433 | 2006-03-20 |
| 1154391027 | Arjen L Van De Voorde | Dentist | 362 State Highway 83, Defuniak Springs, FL 32433 | 2006-01-24 |
| 1629062351 | Robert King Persons | Family Medicine | Walton County Health Department, 3162 Highway 83, Defuniak Springs, FL 32433 | 2005-09-08 |
| 1477030708 | Ashley Fleming | Pharmacist | 1226 Freeport Road, De Funiak Springs, FL 32433 | 2018-07-19 |
| 1710226865 | Genevieve Powell | Doula | 1810 Sandy Ramp Rd, Defuniak Springs, FL 32433-0066 | 2013-02-10 |
| 1720284649 | Patricia A Ferman | Dietitian, Registered | 72 Happy Ln, Defuniak Springs, FL 32433-0514 | 2007-06-26 |
| 1710066576 | Vicky E Dantzler | Registered Nurse | 324 Ralph Long Rd, Defuniak Springs, FL 32433-0830 | 2006-11-03 |
| Find all providers in zip 32433 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558524488 | Total Renal Care Inc | Clinic/Center | 1045 Us Highway 331 S, Defuniak Springs, FL 32435-3375 | 2008-07-10 |
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|---|---|---|---|---|
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| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
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| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32433 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.