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Organization
FRESENIUS VASCULAR CARE PENSACOLA LLC
Active
Organization
FRESENIUS VASCULAR CARE PENSACOLA LLC
Active
Other names
Azura Vascular Care Renalus Pensacola
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (AUTHORIZED OFFICIAL)
(717) 515-4048
Entity
Organization
Contact information
Practice address
1619 CREIGHTON RD STE 2, PENSACOLA, FL 32504-7152
(850) 466-3843
(850) 484-3106
Mailing address
PO BOX 419076, BOSTON, MA 02241-9076
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018727200
—
FL
Enumeration date
11/25/2014
Last updated
07/31/2026
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