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

Kidney Clinic of Jacksonville, LLC

Organization Nephrology Physician · NPI 1427281971

Kidney Clinic of Jacksonville, LLC is a Nephrology Physician in Jacksonville, Florida. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14546 Old Saint Augustine Rd 301
Jacksonville, FL 32258-5468
Phone: (904) 296-8980
Fax: (904) 296-0698
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1427281971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kadir Mansur — President/Co-Owner · (904) 296-8980
NPI enumeratedSeptember 1, 2009
Last updated in NPPESDecember 31, 2009
Mailing address14546 Old Saint Augustine Rd, 301, Jacksonville, FL 32258-5468

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