Fresenius Medical Care Comprehensive CKD Services Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC

Doing business as

CKD Services of Pt. St. Lucie

Practice address

1680 SE Lyngate Dr
Ste. 101 CKD Services of PT. St. Lucie
Port Saint Lucie, FL 34952-4300

Phone

(772) 335-2407

Fax

(772) 335-8509

NPI assigned

Feb 18, 2008

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Fawcett

Title

Vice President, Treasurer

Phone

(781) 699-2668

Specialties & licenses 1

Addresses

Other names 1

• CKD Services of Pt. St. Lucie Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1043488695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINTER ST",
            "address_2": "FMCNA CKD SERVICES 3W-16",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511521",
            "telephone_number": "781-699-4160",
            "fax_number": "781-699-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR",
            "address_2": "STE. 101 CKD SERVICES OF PT. ST. LUCIE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-335-2407",
            "fax_number": "772-335-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS INC",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT, TREASURER",
        "authorized_official_telephone_number": "781-699-2668"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CKD Services of Pt. St. Lucie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Frazier, ARNP
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• Abraham Frias, PT
• Lyle R Fried, CAP, ICADC
• Alexander Friman, APRN
• Frontline Support Coordinators, LLC
• Future Smiles Home Health, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.