| Organization Name: | FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC |
| NPI Number: | 1043488695 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK FAWCETT (VICE PRESIDENT, TREASURER) |
| Mailing Address: | 1680 Se Lyngate Dr Ste. 101 Ckd Services Of Pt. St. Lucie Port Saint Lucie |
| State: | FL US |
| Postal Code: | 349524300 |
| Phone Number: | 7723352407 |
| Fax Number: | 7723358509 |
| NPI Enumeration Date: | 02/18/2008 |
| NPI Last Update Date: | 10/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |