Jacksonville Kidney Center Llc

LBN: Jacksonville Kidney Center Llc
Jacksonville Kidney Center Llc is an health care organization with primary practice located at 13241 Bartram Park Blvd Unit 409 , Jacksonville FL 32258-5237. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Jacksonville Kidney Center Llc can be contacted via phone (904) 400-6800, or through Kancha, Koteswari via phone (904) 647-8207.

Contact Information

Primary practice address
13241 Bartram Park Blvd Unit 409 Jacksonville FL 32258-5237
Phone: (904) 400-6800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kancha, Koteswari Doctor of Medicine (MD)
Phone: (904) 647-8207

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME 98954 Florida

Profile Details

NPI number 1255647491
LBN Legal business name Jacksonville Kidney Center Llc
DBA Doing business as
Authorized official Kancha, Koteswari Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2010
Last updated Dec 8th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers