Search › Florida › 208VP0014X
Kenneth Eaddy, MD
NPI 1154506376 · on the registry since 2008
Practice
- Address
- 11705 San Jose Blvd Ste 110
Jacksonville, FL 32223 - Phone
- (904) 495-7976
- Fax
- (904) 683-5688
- Organisation at this address
- Dialysis Clinic Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 28
Additional practice sites
- 1731 Wells Rd Ste 100, Orange Park, FL
Registry record
- Primary taxonomy
- 208VP0014X
208VP0014X
- Also registered as
- 207R00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida