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

Clinic for Kidney Diseases PA

Organization Nephrology Physician · NPI 1467471672

Clinic for Kidney Diseases PA provides Nephrology Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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