Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1770551012 Active

Practice location

5135 Adanson St, Ste 700
Orlando, FL 32804-1338

Call (407) 539-3998 Map

Fax (407) 539-5708

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: 1770551012
Entity type: Organization (Type 2)
Issued: Mar 11, 2006
Last updated: Mar 6, 2025
Status: Active

Other names

<unavail>
Orlando North Dialysis · doing business as
Orlando North Dialysis · doing business as

Authorized official

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

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About NPI 1770551012

Dva Renal Healthcare Inc's National Provider Identifier is 1770551012, 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 Orlando, FL. The record was last updated on Mar 6, 2025.