Organization
FLORIDA KIDNEY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELENA RIVERA (CREDENTIALING MANAGER)
(480) 610-6100
Entity
Organization
Contact information
Practice address
5730 BOWDEN RD STE 110, JACKSONVILLE, FL 32216-6174
(904) 388-2678
(904) 388-6776
Mailing address
5730 BOWDEN RD STE 110, JACKSONVILLE, FL 32216-6174
(904) 388-2678
(904) 388-6776
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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