Kidney Clinic Of Jacksonville, Llc

LBN: Kidney Clinic Of Jacksonville, Llc
Kidney Clinic Of Jacksonville, Llc is an health care organization with primary practice located at 14546 Old Saint Augustine Rd 301, Jacksonville FL 32258-5468. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Kidney Clinic Of Jacksonville, Llc can be contacted via phone (904) 296-8980, or through Mansur, Kadir via phone (904) 296-8980.

Contact Information

Primary practice address
14546 Old Saint Augustine Rd 301 Jacksonville FL 32258-5468
Fax: (904) 296-0698
Website:
Authorized official contact:
Name: Mansur, Kadir Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1427281971
LBN Legal business name Kidney Clinic Of Jacksonville, Llc
DBA Doing business as
Authorized official Mansur, Kadir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2009
Last updated Dec 31st, 2009 - about 16 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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