Organization
NEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GLENN DAVIS M.D. (M.D./PARTNER)
(904) 398-8266
Entity
Organization
Contact information
Practice address
3129 HENDRICKS AVE, JACKSONVILLE, FL 32207-4217
(904) 398-8266
(904) 396-4803
Mailing address
3129 HENDRICKS AVE, JACKSONVILLE, FL 32207-4217
(904) 398-8266
(904) 396-4803
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255950100
—
FL
Enumeration date
01/28/2008
Last updated
11/03/2009
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