Organization
NORTHWEST JACKSONVILLE DIALYSIS CENTER LLC
Active
Other names
ARA North Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
1725 OAKHURST AVENUE, SUITE 100, JACKSONVILLE, FL 32208-3282
(904) 766-2279
(904) 924-7568
Mailing address
1725 OAKHURST AVENUE, SUITE 100, JACKSONVILLE, FL 32208-3282
(904) 766-2279
(904) 924-7568
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000987500
—
FL
Enumeration date
11/04/2008
Last updated
01/11/2023
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