Gaviota Dialysis, LLC

NPI #1104217918 in Deltona, Florida

Provider Information

NPI Number
1104217918
Entity Type
Organization
Organization Name
Gaviota Dialysis, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 16, 2015
Last Updated
Feb 3, 2026

Practice Location

Address
1200 DELTONA BLVD
Address 2
STE 26
State
Florida
ZIP Code
32725-6389
Phone
(386) 574-0225

Authorized Official

Name
SAMUEL WEY
Title
VP, LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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