Organization
THE NEMOURS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY A MCKENDREE (VP, FINANCE)
(904) 697-5628
Entity
Organization
Contact information
Practice address
10140 CENTURION PKWY N, THE NEMOURS FOUNDATION, JACKSONVILLE, FL 32256-0532
(904) 697-5628
(907) 697-5629
Mailing address
10140 CENTURION PKWY N, MANAGED CARE DEPARTMENT, JACKSONVILLE, FL 32256-0532
(904) 697-5628
(907) 697-5629
Taxonomy
Speciality
Code
Description
License number
State
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
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
284300000X
Special Hospital
—
—
Other
Enumeration date
07/29/2006
Last updated
10/29/2012
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