ADVANCED DIALYSIS JACKSONVILLE LLC NPI 1033037379

NPI Information

  • NPI: 1033037379
  • Provider Name: ADVANCED DIALYSIS JACKSONVILLE LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Address: 5445 NORWOOD AVE
    JACKSONVILLE, FL
    ZIP 32208
  • Phone: (904) 593-5333

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NPI Details

ADVANCED DIALYSIS JACKSONVILLE LLC is an end-stage renal disease (esrd) treatment clinic center in Jacksonville, FL. ADVANCED DIALYSIS JACKSONVILLE LLC NPI is 1033037379. The provider is registered as an organization entity type.

The provider's business location address is:

5445 NORWOOD AVE
JACKSONVILLE, FL
ZIP 32208-008
Phone: (904) 593-5333
Fax: (904) 593-5334

The provider's authorized official is Gaurav Tandon .
The authorized official title is Owner and has the following contact phone number (623) 734-5400.

The enumeration date for this NPI number is 7/6/2026 and was last updated on 7/6/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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