Nephrology Consultants Of Jacksonville Llc

LBN: Nephrology Consultants Of Jacksonville Llc
Nephrology Consultants Of Jacksonville Llc is an health care organization with primary practice located at 3129 Hendricks Ave , Jacksonville FL 32207-4217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Nephrology Consultants Of Jacksonville Llc can be contacted via phone (904) 398-8266, or through Davis, Robert Glenn via phone (904) 398-8266.

Contact Information

Primary practice address
3129 Hendricks Ave Jacksonville FL 32207-4217
Phone: (904) 398-8266
Fax: (904) 396-4803
Website:
Map and Directions
Authorized official contact:
Name: Davis, Robert Glenn Doctor of Medicine (MD)
Phone: (904) 398-8266

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1821275330
LBN Legal business name Nephrology Consultants Of Jacksonville Llc
DBA Doing business as
Authorized official Davis, Robert Glenn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Nov 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821275330 NPPES
Florida MEDICAID 255950100

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