Kidney Clinics Of Jacksonville

LBN: Physicians Group Services Pa
Kidney Clinics Of Jacksonville is an health care organization with primary practice located at 14540 Old Saint Augustine Rd Ste 2397 , Jacksonville FL 32258-7418. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Physicians Group Services Pa can be contacted via phone (904) 296-0670, or through Glenn, Christopher via phone (904) 282-6331.

Contact Information

Primary practice address
14540 Old Saint Augustine Rd Ste 2397 Jacksonville FL 32258-7418
Phone: (904) 296-0670
Fax: (904) 296-0698
Website:
Map and Directions
Authorized official contact:
Name: Glenn, Christopher
Phone: (904) 282-6331

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1598033805
LBN Legal business name Physicians Group Services Pa
DBA Doing business as Kidney Clinics Of Jacksonville
Authorized official Glenn, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2011
Last updated Apr 26th, 2024 - about last year

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 1598033805 NPPES
Florida MEDICAID 259123500

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