Organization · Type 2 NPI

Dva Healthcare Renal Care, Inc.

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

NPI number 1770551004 Active

Practice location

2301 S Frontage Rd
Plant City, FL 33563-2061

Call (813) 659-1674 Map

Fax (813) 659-2269

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 Plant City

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NPI record

NPI: 1770551004
Entity type: Organization (Type 2)
Issued: Mar 11, 2006
Last updated: May 29, 2025
Status: Active

Other names

<unavail>
Plant City Dialysis · doing business as
Plant City 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.

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About NPI 1770551004

Dva Healthcare Renal Care, Inc.'s National Provider Identifier is 1770551004, 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 Plant City, FL. The record was last updated on May 29, 2025.