Organization
ARA SOUTHSIDE DIALYSIS LLC
Active
Other names
ARA South Jacksonville Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
12735 GRAN BAY PKWY W STE 210, JACKSONVILLE, FL 32258-4499
(904) 659-6999
(904) 260-0859
Mailing address
12735 GRAN BAY PKWY W STE 210, JACKSONVILLE, FL 32258-4499
(904) 659-6999
(904) 260-0859
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
01/10/2023
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