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PHYSICIANS GROUP SERVICES PA NPI 1598033805


NPI Information

NPI: 1598033805
Provider Name: PHYSICIANS GROUP SERVICES PA

Doing Business As: KIDNEY CLINICS OF JACKSONVILLE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
14540 OLD SAINT AUGUSTINE RD STE 2397
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 296-0670
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PHYSICIANS GROUP SERVICES PA 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. PHYSICIANS GROUP SERVICES PA NPI is 1598033805. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kidney Clinics Of Jacksonville.

The provider's business location address is:

14540 OLD SAINT AUGUSTINE RD STE 2397
JACKSONVILLE, FL
ZIP 32258-418
Phone: (904) 296-0670
Fax: (904) 296-0698

The provider's authorized official is Zanda M Chandler .
The authorized official title is Cfo and has the following contact phone number (904) 282-6331.

The enumeration date for this NPI number is 12/1/2011 and was last updated on 11/30/2021.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1259123500MEDICAIDFLORIDA

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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