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FORT WALTON BEACH DIALYSIS
NPI 1255397170
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Walton Beach, FL

Active since April 21, 2006
1110 HOSPITAL RD, SUITE A, FORT WALTON BEACH, FL 32547(850) 862-6989(850) 862-0014 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fort Walton Beach Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WALTON BEACH DIALYSIS (NPI 1255397170) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fort Walton Beach, Florida and active in the NPI registry since April 2006. The organization lists Thomas O. Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1255397170
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS - SOUTHEAST, LP
Location Address1110 HOSPITAL RD, SUITE AFort Walton Beach, FL 32547-6644
Mailing Address5200 Virginia Way, Ste. 400 L&cBrentwood, TN 37027-7569 · (615) 320-4218 · Fax (303) 209-7825
Phone(850) 862-6989
Fax(850) 862-0014
Organization SubpartNo
Authorized OfficialThomas O. UsiltonGroup Vice President · (770) 541-7922
Enumeration DateApril 21, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1255397170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1110 HOSPITAL RD, Fort Walton Beach, FL 32547
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Other Names 1

Doing Business AsFort Walton Beach Dialysis

Other Identifiers 1

Medicare OSCAR/certification102799FL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD PAUL MEADORS JR. DPT
Physical Therapist
1110 HOSPITAL RD
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 563-8129
OB/GYN SPECIALISTS OF THE EMERALD COAST
Obstetrics & Gynecology
1110 HOSPITAL RD, SUITE C
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1800
MR. MATTHEW AARON LEARY PT
Physical Therapist
1110 HOSPITAL RD, BUILDING B
FORT WALTON BEACH, FL 32547
Okaloosa County (866) 464-3878
JENNIFER BRYNN BENDOKAS PA-C
Physician Assistant
1110 HOSPITAL RD
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renal Treatment Centers - Southeast, LP's NPI number?

The NPI number for Renal Treatment Centers - Southeast, LP is 1255397170. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Fort Walton Beach Dialysis.

Where is Renal Treatment Centers - Southeast, LP located?

Renal Treatment Centers - Southeast, LP is located at 1110 Hospital Rd Suite A, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-6989.

What is Renal Treatment Centers - Southeast, LP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Renal Treatment Centers - Southeast, LP was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.