Organization · Type 2 NPI

Taskett Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jacksonville, FL

NPI number 1043775331 Active

Practice location

8021 Philips Hwy, Ste 15
Jacksonville, FL 32256-7460

Call (904) 636-9652 Map

Fax (904) 636-9657

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

2 other providers at this address

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NPI record

NPI: 1043775331
Entity type: Organization (Type 2)
Issued: Jan 31, 2019
Last updated: Aug 27, 2025
Status: Active

Other names

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Philips Highway Dialysis · doing business as
Philips Highway Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1043775331

Taskett Dialysis LLC's National Provider Identifier is 1043775331, issued on Jan 31, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 27, 2025.