Dva Renal Healthcare INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Lakeland, FL. Organization (NPI-2).
NPI number1376510487
StatusActive
Last updated in NPPESMar 12, 2026
Details
- NPI
- 1376510487
- Entity type
- Organization (NPI-2)
- Legal business name
- Dva Renal Healthcare INC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2006
- Certification date
- Mar 12, 2026
- Last updated
- Mar 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Lakeland South Dialysis (Doing Business As)
Practice location
4774 S Florida AveLakeland, FL 33813-2181
Phone 863-646-0462 · Fax 863-647-0802
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel Wey
Vp, Licensure & Certification
6153416641
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Other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Lakeland, FL
- Bio-Medical Applications Of Florida, INC.NPI 1871007229
- Dva Healthcare Renal Care, INC.NPI 1073580189
- Locuston Dialysis, LLCNPI 1770141665
- Total Renal Care INCNPI 1295021095
All 5 End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Lakeland · All 6,813 providers in Lakeland
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