Organization · Type 2 NPI

Davita Tidewater LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Norfolk, VA

NPI number 1952365082 Active

Practice location

420 N Center Dr, Bldg 11-STE128
Norfolk, VA 23502-4007

Fax (757) 455-0065

Mailing address

5200 Virginia Way, L & C Department
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1952365082

Davita Tidewater LLC's National Provider Identifier is 1952365082, issued on Apr 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Norfolk, VA. The record was last updated on Sep 22, 2015.