Organization
THE NEMOURS FOUNDATION
Active
Parent organization
THE NEMOURS FOUNDATION
Other names
Nemours Childrens Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE NEMOURS FOUNDATION
Authorized official
MR. RODNEY A MCKENDREE (VP, FINANCE)
(904) 697-5628
Entity
Organization
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3927
Mailing address
10140 CENTURION PARKWAY N, C/O MANAGED CARE, JACKSONVILLE, FL 32256-0532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
FL
261QX0200X
Oncology Clinic/Center
—
—
Other
Enumeration date
01/18/2007
Last updated
12/11/2024
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