Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kidney Clinic of Jacksonville, LLC

Organization Nephrology Physician · NPI 1427281971

Kidney Clinic of Jacksonville, LLC provides Nephrology Physician services 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 Not confirmed with CMS for 16 years — call before visiting
Phone: (904) 296-8980
Fax: (904) 296-0698
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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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