PENSACOLA NEPHROLOGY PA NPI 1518969765

NPI Information

NPI: 1518969765
Provider Name: PENSACOLA NEPHROLOGY PA

Doing Business As: RENALUS CENTER FOR KIDNEY CARE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1619 CREIGHTON RD STE 1
PENSACOLA, FL
ZIP 32504
Phone: (850) 444-4700
Get Directions

PENSACOLA NEPHROLOGY PA is a nephrology internal medicine in Pensacola, FL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PENSACOLA NEPHROLOGY PA NPI is 1518969765. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Renalus Center For Kidney Care.

The provider's business location address is:

1619 CREIGHTON RD STE 1
PENSACOLA, FL
ZIP 32504-152
Phone: (850) 444-4700
Fax: (850) 434-8144

The provider's authorized official is Shantelle S Ros .
The authorized official title is Administration and has the following contact phone number (850) 444-4700.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	256870513	MEDICAID	FLORIDA
2	256870512	MEDICAID	FLORIDA
3	CF9777	OTHER	ALABAMA	RRB PTAN
4	256870500	MEDICAID	FLORIDA
5	256870509	MEDICAID	FLORIDA
6	CF9776	OTHER	FLORIDA	RRB PTAN
7	256870510	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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