MEDICARE: FRESENIUS MEDICAL CARE PALM BEACH COUNTY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821757386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESENIUS MEDICAL CARE PALM BEACH COUNTY, LLC

Provider Business Mailing Address
First Line	:	6901 OKEECHOBEE BLVD STE D19
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2513
Country	:	US
Telephone Number	:	561-616-3335
Fax Number	:	561-616-2522

Provider Business Practice Location Address
First Line	:	6901 OKEECHOBEE BLVD STE D19
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2513
Country	:	US
Telephone Number	:	561-616-3335
Fax Number	:	561-616-2522

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BARRY BLANTON
Credential	:
Telephone Number	:	781-699-9000

Provider Enumeration Date	:	12/13/2021
Last Update Date	:	10/14/2023

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