Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Miami Gardens, FL

NPI number 1043277015 Active

Practice location

3363 NW 167th St
Miami Gardens, FL 33056-4254

Call (305) 627-9311 Map

Fax (305) 628-9389

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1043277015
Entity type: Organization (Type 2)
Issued: Apr 26, 2006
Last updated: Jun 16, 2026
Status: Active

Other names

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Miami Gardens Dialysis · doing business as
Miami Gardens Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1043277015

Dva Renal Healthcare Inc's National Provider Identifier is 1043277015, issued on Apr 26, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Miami Gardens, FL. The record was last updated on Jun 16, 2026.