Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1255308722 Active

Practice location

4220 Executive Cir, Ste 38
Fort Myers, FL 33916-8055

Call (239) 274-3681 Map

Fax (239) 274-6168

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: 1255308722
Entity type: Organization (Type 2)
Issued: Mar 3, 2006
Last updated: Mar 16, 2026
Status: Active

Other names

<unavail>
Fort Myers Dialysis · doing business as
Fort Myers Dialysis · doing business as

Authorized official

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

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About NPI 1255308722

Dva Healthcare Renal Care Inc's National Provider Identifier is 1255308722, issued on Mar 3, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 16, 2026.