Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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DVA Renal Healthcare Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1376510487

DVA Renal Healthcare Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lakeland, Florida. Medicare rates this dialysis facility 1 out of 5. Registered with an NPI since 2006.

CMS rating
1 of 5
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 102764)

Practice location Address checks out

4774 S Florida Ave
Lakeland, FL 33813-2181
Phone: (863) 646-0462
Fax: (863) 647-0802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1376510487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Lakeland South Dialysis; Lakeland South Dialysis
NPI enumeratedMarch 7, 2006
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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