Dva Healthcare Renal Care INC
NPI #1255308722 in Fort Myers, Florida
Provider Information
- NPI Number
- 1255308722
- Entity Type
- Organization
- Organization Name
- Dva Healthcare Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 3, 2006
- Last Updated
- Oct 26, 2023
Practice Location
- Address
- 4220 EXECUTIVE CIR
- Address 2
- STE 38
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33916-8055
- Phone
- (239) 274-3681
Authorized Official
- Name
- SAMUEL T. WEY, AO
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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| Fort Myers Kidney Center LLC |  AI Deep Dive |
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| 5072020, LLC Part of U.s. Renal Care, Inc. | AI Deep Dive |
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