Dva Healthcare Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Palm Coast, FL. Organization (NPI-2).
NPI number1619945946
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1619945946
- Entity type
- Organization (NPI-2)
- Legal business name
- Dva Healthcare Renal Care INC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2006
- Certification date
- Jun 29, 2026
- Last updated
- Jun 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Palm Coast Dialysis (Doing Business As)
Practice location
13 Kingswood DrSte A
Palm Coast, FL 32137-4614
Phone 386-445-4445 · Fax 386-445-3312
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel T Wey
Vp, Licensure & Certification
6153416641
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Other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Palm Coast, FL
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- West Orange Palm Coast Dialysis Center LLCNPI 1972074086
All 6 End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Palm Coast · All 1,894 providers in Palm Coast
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