Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1124096458 Active

Practice location

7061 Cypress Rd, Ste 103
Plantation, FL 33317-2243

Call (954) 583-2100 Map

Fax (954) 584-2463

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...

Other end-stage renal disease (esrd) treatment clinic/center providers in Plantation

See all in Plantation →

NPI record

NPI: 1124096458
Entity type: Organization (Type 2)
Issued: Mar 11, 2006
Last updated: May 6, 2025
Status: Active

Other names

<unavail>
Plantation Dialysis · doing business as
Plantation Dialysis · doing business as

Authorized official

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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1124096458

Dva Renal Healthcare Inc's National Provider Identifier is 1124096458, issued on Mar 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Plantation, FL. The record was last updated on May 6, 2025.