Organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
Active
Parent organization
SHANDS JACKSONVILLE MEDICAL CENTER, INC.
Other names
Shands Jacksonville Renal Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANDS JACKSONVILLE MEDICAL CENTER, INC.
Authorized official
MR. MICHAEL E GLEASON (VP OF FINANCE AND TREASURER)
(904) 244-8675
Entity
Organization
Contact information
Practice address
655 W 8TH ST, BASEMENT, ACC BLDG., JACKSONVILLE, FL 32209-6511
(904) 244-6690
(904) 244-4431
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-8675
(904) 244-4027
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
FL
Other
Enumeration date
10/10/2006
Last updated
07/22/2024
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