Organization
NXSTAGE JACKSONVILLE, LLC
Active
Organization
NXSTAGE JACKSONVILLE, LLC
Active
Parent organization
NXSTAGE KIDNEY CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NXSTAGE KIDNEY CARE, INC.
Authorized official
MR. ROBERT BROWN (PRESIDENT NXSTAGE KIDNEY CARE INC.)
(978) 687-4703
Entity
Organization
Contact information
Practice address
2777 UNIVERSITY BLVD W, SUITE 39, JACKSONVILLE, FL 32217-2176
(678) 333-4944
Mailing address
3430 RIVERS CALL BLVD, ATLANTA, GA 30339-5611
(678) 333-4944
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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