Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Active
Other names
North Florida Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE PETERSON (PRESIDENT)
(303) 876-6486
Entity
Organization
Contact information
Practice address
2216 NW 40TH TER, GAINESVILLE, FL 32605-3573
(352) 888-7500
(352) 372-1364
Mailing address
1840 E RAY RD, CHANDLER, AZ 85225-8720
(855) 397-0197
(800) 272-6512
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274957201
—
FL
Enumeration date
07/01/2013
Last updated
02/06/2020
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