Fort Walton Beach Dialysis

LBN: Renal Treatment Centers - Southeast, Lp
Fort Walton Beach Dialysis is an health care organization with primary practice located at 1110 Hospital Rd Suite A, Fort Walton Beach FL 32547-6644. 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. Renal Treatment Centers - Southeast, Lp can be contacted via phone (850) 862-6989, or through Usilton, Thomas O. via phone (770) 541-7922.

Contact Information

Primary practice address
1110 Hospital Rd Suite A Fort Walton Beach FL 32547-6644
Phone: (850) 862-6989
Fax: (850) 862-0014
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O.
Phone: (770) 541-7922

Health care specialties

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

Profile Details

NPI number 1255397170
LBN Legal business name Renal Treatment Centers - Southeast, Lp
DBA Doing business as Fort Walton Beach Dialysis
Authorized official Usilton, Thomas O.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 12th, 2007 - about 17 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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