Organization
JACKSONVILLE NEPHROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEP MUNJAL MD, MBA (PRESIDENT)
(904) 260-9898
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 301, JACKSONVILLE, FL 32258-5236
(904) 260-9898
(904) 260-9891
Mailing address
13241 BARTRAM PARK BLVD UNIT 301, JACKSONVILLE, FL 32258-5236
(904) 260-9898
(904) 260-9891
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME91566
FL
Other
Enumeration date
08/28/2008
Last updated
03/14/2022
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