| NPI | 1669560256 |
|---|---|
| Doing Business As | SHANDS JACKSONVILLE RENAL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E GLEASON VP Of Finance And Treasurer 904-244-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-12-01 |