Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Broward Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1500 N FEDERAL HWY, STE 100, FT LAUDERDALE, FL 33304-5600
(954) 396-8990
(954) 396-6988
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200518227
—
FL
Enumeration date
03/02/2006
Last updated
04/20/2020
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