Organization · Type 2 NPI
Dva Healthcare Renal Care, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lake Wales, FL
NPI number
1750358172
Active
Practice location
1125 Bryn Mawr Ave
Lake Wales, FL 33853-4333
Fax (863) 679-9856
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 Lake Wales
About NPI 1750358172
Dva Healthcare Renal Care, Inc.'s National Provider Identifier is 1750358172, 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 Lake Wales, FL. The record was last updated on Mar 17, 2026.