Miami Gardens Dialysis

LBN: Dva Renal Healthcare Inc
Miami Gardens Dialysis is an health care organization with primary practice located at 3363 Nw 167Th St , Miami Gardens FL 33056-4254. 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 Renal Healthcare Inc can be contacted via phone (305) 627-9311, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
3363 Nw 167Th St Miami Gardens FL 33056-4254
Phone: (305) 627-9311
Fax: (305) 628-9389
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1043277015
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Miami Gardens Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 14th, 2024 - about 6 months 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 1043277015 NPPES
Florida MEDICAID 891993300

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