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Davita Tidewater Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Norfolk, Virginia
NPI 1952365082

Davita Tidewater Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, VA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Davita Tidewater Llc practices in Norfolk, VA. The NPI Number for Davita Tidewater Llc is 1952365082 and holds a License No. (Virginia).

The current practice location address for Davita Tidewater Llc is 420 N Center Dr, Norfolk, VA and can be reached out via phone at 757-455-0060 and via fax at 757-455-0065.

Location: 420 N Center Dr, Norfolk, VA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952365082
Provider Name
Davita Tidewater Llc
Credential
Provider Entity Type
Organization
Address
420 N Center Dr, Norfolk, VA, 37027-7569
Phone Number
757-455-0060
Fax Number
757-455-0065
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952365082 05 VA
institution
Provider Business Practice Location Address Details
Address
420 N Center Dr
City
Norfolk
State
Virginia
Zip
23502-4007
Phone Number
757-455-0060
Fax Number
757-455-0065
person
Provider Business Mailing Address Details
Address
420 N Center Dr
City
Norfolk
State
Virginia
Zip
23502-4007
Phone Number
757-455-0060
Fax Number
757-455-0065
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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