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Organization

PENSACOLA NEPHROLOGY, PA

Active
Parent organization
PENSACOLA NEPHROLOGY, PA
Other names
Renalus Center for Kidney Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENSACOLA NEPHROLOGY, PA
Authorized official
JUSTIN DANSBY (CFO)
(850) 444-4700
Entity
Organization

Contact information

Practice address
6007 BERRYHILL RD, MILTON, FL 32570-4008
(850) 623-4771
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-4700

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256870500
FL
05
256870501
FL
05
256870502
FL
05
256870503
FL
05
256870504
FL
Enumeration date
07/21/2023
Last updated
06/26/2025
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