NPI | 1780684795 |
---|---|
Doing Business As | JACKSONVILLE KIDNEY CENTER |
Entity Type | Organization |
Authorized Contact | SHAWN ERIC BARNETT Credentialing And Compliance Mgr 727-863-5418 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
Enumeration Date | 2005-08-01 |
Last Update Date | 2024-04-24 |