Clinic For Kidney Diseases Pa

LBN: Clinic For Kidney Diseases Pa
Clinic For Kidney Diseases Pa is an health care organization with primary practice located at 2585 Herschel St , Jacksonville FL 32204-4557. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Clinic For Kidney Diseases Pa can be contacted via phone (904) 388-2678, or through Jayadevappa, Dinesh via phone (904) 388-2678.

Contact Information

Primary practice address
2585 Herschel St Jacksonville FL 32204-4557
Phone: (904) 388-2678
Fax: (904) 388-6776
Website:
Map and Directions
Authorized official contact:
Name: Jayadevappa, Dinesh Doctor of Medicine (MD)
Phone: (904) 388-2678

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME24762 Florida

Profile Details

NPI number 1467471672
LBN Legal business name Clinic For Kidney Diseases Pa
DBA Doing business as
Authorized official Jayadevappa, Dinesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 20th, 2010 - about 14 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 1467471672 NPPES
Florida MEDICAID 255215900
Florida Other 99457

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