Organization · Type 2 NPI
Southern Baptist Hospital of Florida Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jacksonville, FL
NPI number
1316112014
Active
Practice location
800 Prudential Dr
Jacksonville, FL 32207-8202
Fax (904) 376-4280
Mailing address
PO Box 45094
Jacksonville, FL 32232-5094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 4448 (FL) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1316112014
Southern Baptist Hospital of Florida Inc's National Provider Identifier is 1316112014, issued on Apr 24, 2008. 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 Jun 1, 2022.