Organization · Type 2 NPI
Dva Healthcare Renal Care, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Perry, FL
NPI number
1972571206
Active
Practice location
118 W Main St
Perry, FL 32347-2656
Fax (850) 584-6040
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...
About NPI 1972571206
Dva Healthcare Renal Care, Inc.'s National Provider Identifier is 1972571206, 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 Perry, FL. The record was last updated on Nov 29, 2022.