DVA RENAL HEALTHCARE INC. NPI 1801864145

NPI Information

DVA RENAL HEALTHCARE, INC. is an end-stage renal disease (esrd) treatment clinic center in Saint Petersburg, FL. DVA RENAL HEALTHCARE, INC. NPI is 1801864145. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Petersburg South Dialysis.

The provider's business location address is:

2850 34TH ST S
SAINT PETERSBURG, FL
ZIP 33711-817
Phone: (727) 864-4050
Fax: (727) 864-0013

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 10D1020623 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2006 and was last updated on 2/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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