Fort Myers South Dialysis

LBN: Dva Healthcare Renal Care Inc
Fort Myers South Dialysis is an health care organization with primary practice located at 8850 Gladiolus Dr , Fort Myers FL 33908-5102. 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 (239) 415-1661, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
8850 Gladiolus Dr Fort Myers FL 33908-5102
Phone: (239) 415-1661
Fax: (239) 415-7440
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 1114994688
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Fort Myers South Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2006
Last updated Sep 28th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114994688 NPPES
Florida MEDICAID 212508100

Popular Providers