Organization · Type 2 NPI
Ara Southside Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jacksonville, FL
NPI number
1720662489
Active
Practice location
12735 Gran Bay Pkwy W Ste 210
Jacksonville, FL 32258-4499
Fax (904) 260-0859
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...
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About NPI 1720662489
Ara Southside Dialysis LLC's National Provider Identifier is 1720662489, issued on May 10, 2021. 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 May 14, 2026.