Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Sebastian Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1424 US HIGHWAY 1, STE C, SEBASTIAN, FL 32958-1619
(772) 589-9182
(772) 589-9959
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
—
890014100
—
FL
Enumeration date
03/11/2006
Last updated
08/31/2020
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