Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Orange City Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2575 S VOLUSIA AVE STE 400, ORANGE CITY, FL 32763-9135
(386) 774-0101
(386) 774-0249
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
890054000
—
FL
Enumeration date
03/09/2006
Last updated
03/18/2026
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