Taskett Dialysis LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Jacksonville, FL. Organization (NPI-2).
NPI number1043775331
StatusActive
Last updated in NPPESAug 27, 2025
Details
- NPI
- 1043775331
- Entity type
- Organization (NPI-2)
- Legal business name
- Taskett Dialysis LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2019
- Certification date
- Aug 27, 2025
- Last updated
- Aug 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Philips Highway Dialysis (Doing Business As)
Practice location
8021 Philips HwySte 15
Jacksonville, FL 32256-7460
Phone 904-636-9652 · Fax 904-636-9657
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel T Wey
Vp, Licensure & Certification
6153416641
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