St. Petersburg South Dialysis

LBN: Dva Renal Healthcare, Inc.
St. Petersburg South Dialysis is an health care organization with primary practice located at 2850 34Th St S , Saint Petersburg FL 33711-3817. 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 (727) 864-4050, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
2850 34Th St S Saint Petersburg FL 33711-3817
Phone: (727) 864-4050
Fax: (727) 864-0013
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 1801864145
LBN Legal business name Dva Renal Healthcare, Inc.
DBA Doing business as St. Petersburg South Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2006
Last updated Feb 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801864145 NPPES
Florida MEDICAID 890113900

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