Organization
DIALYSIS CLINIC INC
Active
Organization
DIALYSIS CLINIC INC
Active
Other names
DCI Jacksonville Mid-Town
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
757 W UNION ST, JACKSONVILLE, FL 32202-4765
(904) 539-4963
(904) 539-4964
Mailing address
615 PARK ST, JACKSONVILLE, FL 32204-2932
(904) 354-0409
(904) 354-0415
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
10/04/2023
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