Organization Name: | RAI CARE CENTERS OF FLORIDA II, LLC |
NPI Number: | 1235148214 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK R. FAWCETT (VP AND TREASURER) |
Mailing Address: | 1101 9th Street North St. Petersburg |
State: | FL US |
Postal Code: | 337011515 |
Phone Number: | 7278951472 |
Fax Number: | 7278220268 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 03/04/2014 |
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: |