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Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Fort Myers, Florida
NPI 1134196603

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 North Fort Myers, FL. The NPI Number for Dva Renal Healthcare Inc is 1134196603 and holds a License No. (Florida).

The current practice location address for Dva Renal Healthcare Inc is 16101 N Cleveland Ave, North Fort Myers, FL and can be reached out via phone at 239-656-4403 and via fax at 239-656-1886.

Location: 16101 N Cleveland Ave, North Fort Myers, FL, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134196603
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
16101 N Cleveland Ave, North Fort Myers, FL, 37027-7569
Phone Number
239-656-4403
Fax Number
239-656-1886
Provider Enumeration Date
03/03/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890083300 05 FL
institution
Provider Business Practice Location Address Details
Address
16101 N Cleveland Ave
City
North Fort Myers
State
Florida
Zip
33903-2148
Phone Number
239-656-4403
Fax Number
239-656-1886
person
Provider Business Mailing Address Details
Address
16101 N Cleveland Ave
City
North Fort Myers
State
Florida
Zip
33903-2148
Phone Number
239-656-4403
Fax Number
239-656-1886
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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