Nephrology Consultants of Jacksonville LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC

Practice address

3129 Hendricks Ave
Jacksonville, FL 32207-4217

Phone

(904) 398-8266

Fax

(904) 396-4803

NPI assigned

Jan 28, 2008

Last updated

Nov 3, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Glenn Davis, M.D.

Title

M.D./Partner

Phone

(904) 398-8266

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1821275330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074217",
            "telephone_number": "904-398-8266",
            "fax_number": "904-396-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074217",
            "telephone_number": "904-398-8266",
            "fax_number": "904-396-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "M.D./PARTNER",
        "authorized_official_telephone_number": "904-398-8266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255950100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neil Nesbitt

• Nephrology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.