DVA HEALTHCARE RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in South Daytona, FL. DVA HEALTHCARE RENAL CARE INC NPI is 1013984533. The provider is registered as an organization entity type.
The provider Is Doing Business As Daytona South Dialysis.
The provider's business location address is:
955 FOSTER WAY
STE 306
SOUTH DAYTONA, FL
ZIP 32119-731
Phone: (386) 322-3625
Fax: (386) 322-3695
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 10D0665478 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/2/2006 and was last updated on 4/20/2021.