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Organization

DVA RENAL HEALTHCARE, INC.

Active
Other names
Orlando Home Training 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
116 STURTEVANT ST STE 2, ORLANDO, FL 32806-2021
(407) 849-1567
(407) 849-1657
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
890575400
FL
Enumeration date
03/14/2006
Last updated
02/28/2025
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