Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1144297631 Active

Practice location

114 E Brandon Blvd
Brandon, FL 33511-5219

Call (813) 657-2783 Map

Fax (813) 657-2521

Mailing address

5200 Virginia Way, Att: 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: 1144297631
Entity type: Organization (Type 2)
Issued: Mar 2, 2006
Last updated: Nov 8, 2024
Status: Active

Other names

<unavail>
Brandon East Dialysis · doing business as
Brandon East Dialysis · doing business as

Authorized official

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

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About NPI 1144297631

Dva Healthcare Renal Care Inc's National Provider Identifier is 1144297631, issued on Mar 2, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Brandon, FL. The record was last updated on Nov 8, 2024.