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NEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC NPI 1578058939


NPI Information

NPI: 1578058939
Provider Name: NEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 44D0669331

Address:
3129 HENDRICKS AVE
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 398-8266
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NEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC is a nephrology internal medicine in Jacksonville, FL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC NPI is 1578058939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3129 HENDRICKS AVE
JACKSONVILLE, FL
ZIP 32207-217
Phone: (904) 398-8266
Fax: (904) 396-4803

The provider's authorized official is James E Attrill .
The authorized official title is President Of Member and has the following contact phone number (615) 327-3061.

The CLIA number assigned to this NPI record is 44D0669331 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/28/2018 and was last updated on 6/28/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

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: 11/14/2023

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