Dva Healthcare Renal Care, Inc.

NPI #1972571206 in Perry, Florida

Provider Information

NPI Number: 1972571206
Entity Type: Organization
Organization Name: Dva Healthcare Renal Care, Inc.
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 11, 2006
Last Updated: Nov 29, 2022

Practice Location

Address: 118 W MAIN ST
City: Perry
State: Florida
ZIP Code: 32347-2656
Phone: (850) 584-6012

Authorized Official

Name: JOHN D WINSTEL
Title: CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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