Dva Renal Healthcare INC

NPI #1104893221 in Melbourne, Florida

Provider Information

NPI Number
1104893221
Entity Type
Organization
Organization Name
Dva Renal Healthcare INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Mar 7, 2006
Last Updated
Jun 19, 2025

Practice Location

Address
4175 W NEW HAVEN AVE
Address 2
STE 15
State
Florida
ZIP Code
32904-1997
Phone
(321) 956-6252

Authorized Official

Name
SAMUEL T 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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