Provider Demographics
NPI:1215622311
Name:FRESENIUS MEDICAL CARE NORTH SARASOTA, LLC
Entity type:Organization
Organization Name:FRESENIUS MEDICAL CARE NORTH SARASOTA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:8037 COOPER CREEK BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34201-3006
Mailing Address - Country:US
Mailing Address - Phone:941-351-1641
Mailing Address - Fax:941-351-1649
Practice Address - Street 1:8037 COOPER CREEK BLVD STE 106
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:FL
Practice Address - Zip Code:34201-3006
Practice Address - Country:US
Practice Address - Phone:941-351-1641
Practice Address - Fax:941-351-1649
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-06
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL120717000Medicaid