Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
5258-10 NORWOOD AVE, JACKSONVILLE, FL 32208-5026
(904) 764-6781
(904) 765-9862
Mailing address
5258-10 NORWOOD AVE, JACKSONVILLE, FL 32208-5026
(904) 764-6781
(904) 765-9862
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
—
001228500
—
FL
Enumeration date
01/14/2008
Last updated
10/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us