Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinic for Kidney Diseases PA

Organization Nephrology Physician · NPI 1467471672

Clinic for Kidney Diseases PA is a Nephrology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2585 Herschel St
Jacksonville, FL 32204-4557
Phone: (904) 388-2678
Fax: (904) 388-6776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME24762 (FL)

Record details

NPI number1467471672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dinesh Jayadevappa — President · (904) 388-2678
NPI enumeratedJuly 19, 2006
Last updated in NPPESJanuary 20, 2010
Mailing address2585 Herschel St, Jacksonville, FL 32204-4557

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