institution
Dva Healthcare Renal Care, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Wales, Florida
NPI 1750358172

Dva Healthcare Renal Care, 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 Healthcare Renal Care, Inc. practices in Lake Wales, FL. The NPI Number for Dva Healthcare Renal Care, Inc. is 1750358172 and holds a License No. (Florida).

The current practice location address for Dva Healthcare Renal Care, Inc. is 1125 Bryn Mawr Ave, Lake Wales, FL and can be reached out via phone at 863-679-9851 and via fax at 863-679-9856.

Location: 1125 Bryn Mawr Ave, Lake Wales, FL, 37027-7569
institution
Provider Profile Details
NPI Number
1750358172
Provider Name
Dva Healthcare Renal Care, Inc.
Credential
Provider Entity Type
Organization
Address
1125 Bryn Mawr Ave, Lake Wales, FL, 37027-7569
Phone Number
863-679-9851
Fax Number
863-679-9856
Provider Enumeration Date
03/03/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200518217 05 FL
institution
Provider Business Practice Location Address Details
Address
1125 Bryn Mawr Ave
City
State
Zip
33853-4333
Phone Number
863-679-9851
Fax Number
863-679-9856
person
Provider Business Mailing Address Details
Address
1125 Bryn Mawr Ave
City
State
Zip
33853-4333
Phone Number
863-679-9851
Fax Number
863-679-9856
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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