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Organization

ARA-ORANGE PARK LLC

Active
Other names
Northeast Florida Dialysis Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization

Contact information

Practice address
2141 LOCH RANE BLVD STE 112&115, ORANGE PARK, FL 32073-5723
(904) 272-7331
(904) 272-9425
Mailing address
2141 LOCH RANE BLVD STE 112&115, ORANGE PARK, FL 32073-5723
(904) 272-7331
(904) 272-9425

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200582400
FL
Enumeration date
07/13/2006
Last updated
01/10/2023
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