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Organization
PENSACOLA NEPHROLOGY PA
Active
Organization
PENSACOLA NEPHROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROBERSON (CREDENTIALING SPECIALIST)
(850) 444-4700
Entity
Organization
Contact information
Practice address
67 JOE CAMPBELL RD, FREEPORT, FL 32439-4418
(850) 862-2385
Mailing address
67 JOE CAMPBELL RD, FREEPORT, FL 32439-4418
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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