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
2940 N BLUE ANGEL PKWY, PENSACOLA, FL 32506-2925
(850) 444-4700
(850) 434-8144
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-7000
(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
01
—
CF9776
RR MEDICARE
FL
Enumeration date
06/14/2006
Last updated
02/19/2025
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