Organization
PENSACOLA NEPHROLOGY, PA
Active
Other names
Renalus Center for Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DANSBY (CFO)
(850) 444-4700
Entity
Organization
Contact information
Practice address
1619 CREIGHTON RD STE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 434-8144
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-4700
(850) 444-7497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256870500
—
FL
05
—
256870509
—
FL
05
—
256870510
—
FL
05
—
256870512
—
FL
05
—
256870513
—
FL
01
—
CF9776
RRB PTAN
FL
01
—
CF9777
RRB PTAN
AL
Enumeration date
06/01/2005
Last updated
02/19/2025
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