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Organization
FLORIDA INFECTIOUS DISEASE ASSOCIATES PA
Active
Organization
FLORIDA INFECTIOUS DISEASE ASSOCIATES PA
Active
Other names
Nephrology Associates of Northeast Florida, Florida Infectious Disease Associates PA
Organization subpart
No
Provider details
NPI number
Authorized official
JANET YATES RMA (CREDENTIALS SPECIALIST)
(904) 389-5333
Entity
Organization
Contact information
Practice address
1563 KINGSLEY AVE STE 106, ORANGE PARK, FL 32073-4503
(904) 272-6161
(904) 389-5332
Mailing address
2 SHIRCLIFF WAY STE 700, JACKSONVILLE, FL 32204-4759
(904) 389-5333
(904) 389-5332
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110282800
—
FL
Enumeration date
09/17/2007
Last updated
04/06/2026
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