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
09/22/2025
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