Lake Vista Dialysis

LBN: Total Renal Care Inc
Lake Vista Dialysis is an health care organization with primary practice located at 3187 Us Highway 98 N , Lakeland FL 33805-2103. 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 (863) 603-2130, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
3187 Us Highway 98 N Lakeland FL 33805-2103
Phone: (863) 603-2130
Fax: (863) 686-5687
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1295021095
LBN Legal business name Total Renal Care Inc
DBA Doing business as Lake Vista Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2011
Last updated Nov 8th, 2021 - 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 1295021095 NPPES
Florida MEDICAID 005562100

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