# THE NEMOURS FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386658615
- **Authorized official:** MR. RODNEY A MCKENDREE (VP, FINANCE)
- **Authorized official phone:** (904) 697-5628

## Contact information

- **Practice address:** 10140 CENTURION PKWY N, THE NEMOURS FOUNDATION, JACKSONVILLE, FL 32256-0532
- **Practice address phone:** (904) 697-5628
- **Practice address fax:** (907) 697-5629
- **Mailing address:** 10140 CENTURION PKWY N, MANAGED CARE DEPARTMENT, JACKSONVILLE, FL 32256-0532
- **Mailing address phone:** (904) 697-5628
- **Mailing address fax:** (907) 697-5629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | — | NULL | — |
| 261QG0250X | Genetics Clinic/Center | — | NULL | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR1100X | Research Clinic/Center | — | NULL | — |
| 284300000X | Special Hospital | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 10/29/2012