Nna of Florida LLC

Primary specialty

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

Legal business name

NNA OF FLORIDA LLC

Doing business as

RCG Venice

Practice address

1120 Indian Hills Blvd
Venice, FL 34293-2000

Phone

(941) 493-5969

Fax

(941) 493-0537

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As 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

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• RCG VENICE Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1255443099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 INDIAN HILLS BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932000",
            "telephone_number": "941-493-5969",
            "fax_number": "941-493-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 INDIAN HILLS BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932000",
            "telephone_number": "941-493-5969",
            "fax_number": "941-493-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNA OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "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": "RCG VENICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald L Nickerson Jr., MD
• Ricky Nickerson, RPH
• Jolanta Nikiel Dul, LMT
• Irma E Nin, MD
• Brenda Niswander
• Joseph Noah, M.D.
• Heather Michelle Nobles, PA-C
• Non Surgical Solutions of Venice
• Justin Lee Norris, HAS
• North Port Retirement Center, Inc. (Gardens of Venice)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Venice, FL
• Providers in Venice, 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 Sep 23, 2010; 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.