institution
Dva Renal Healthcare, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Melbourne, Florida
NPI 1104893221

Dva Renal Healthcare, Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare, Inc. practices in Melbourne, FL. The NPI Number for Dva Renal Healthcare, Inc. is 1104893221 and holds a License No. (Florida).

The current practice location address for Dva Renal Healthcare, Inc. is 4175 W New Haven Ave, Melbourne, FL and can be reached out via phone at 321-956-6252 and via fax at 321-956-6464.

Location: 4175 W New Haven Ave, Melbourne, FL, 37027-7569
institution
Provider Profile Details
NPI Number
1104893221
Provider Name
Dva Renal Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
4175 W New Haven Ave, Melbourne, FL, 37027-7569
Phone Number
321-956-6252
Fax Number
321-956-6464
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890569000 05 FL
institution
Provider Business Practice Location Address Details
Address
4175 W New Haven Ave
City
State
Zip
32904-1997
Phone Number
321-956-6252
Fax Number
321-956-6464
person
Provider Business Mailing Address Details
Address
4175 W New Haven Ave
City
State
Zip
32904-1997
Phone Number
321-956-6252
Fax Number
321-956-6464
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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