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Organization

NEPHROLOGY ASSOCIATES OF THE GULF COAST, PA

Active
Other names
Nephrology Associates of the Gulf Coast
Organization subpart
No

Provider details

NPI number
Authorized official
GARY SMITH (PRACTICE ADMINISTRATOR)
(850) 474-8121
Entity
Organization

Contact information

Practice address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8121
(850) 474-8096
Mailing address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8121
(850) 474-8096

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
251E00000X
Home Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274039700
FL
05
529927050
AL
01
72272
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/16/2005
Last updated
11/11/2022
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