Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1528036050 Active

Practice location

578 Health Blvd
Daytona Beach, FL 32114-1492

Call (386) 258-7322 Map

Fax (386) 258-0191

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: 1528036050
Entity type: Organization (Type 2)
Issued: Mar 10, 2006
Last updated: Jun 16, 2026
Status: Active

Other names

<unavail>
Daytona Beach Dialysis · doing business as
Daytona Beach Dialysis · doing business as

Authorized official

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

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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.

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About NPI 1528036050

Dva Healthcare Renal Care Inc's National Provider Identifier is 1528036050, issued on Mar 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Daytona Beach, FL. The record was last updated on Jun 16, 2026.