Daytona South Dialysis

LBN: Dva Healthcare Renal Care Inc
Daytona South Dialysis is an health care organization with primary practice located at 955 Foster Way Ste 306, South Daytona FL 32119-1731. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Dva Healthcare Renal Care Inc can be contacted via phone (386) 322-3625, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
955 Foster Way Ste 306 South Daytona FL 32119-1731
Phone: (386) 322-3625
Fax: (386) 322-3695
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1013984533
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Daytona South Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2006
Last updated Apr 20th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013984533 NPPES
Florida MEDICAID 200518203

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