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PENSACOLA NEPHROLOGY PA NPI 1023051083


NPI Information

NPI: 1023051083
Provider Name: PENSACOLA NEPHROLOGY, PA

Doing Business As: RENALUS CENTER FOR KIDNEY CARE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1717 N E ST STE 403
PENSACOLA, FL
ZIP 32501
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 1023051083. 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:

1717 N E ST STE 403
PENSACOLA, FL
ZIP 32501-334
Phone: (850) 444-4700
Fax: (850) 434-8144

The provider's authorized official is Patricia Breeland .
The authorized official title is Administrator and has the following contact phone number (850) 444-7000.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 6/14/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10358OTHERFLORIDAMED3000/HEALTH 1ST NETWOR
2256870502MEDICAIDFLORIDA
3256870504MEDICAIDFLORIDA
4256870505MEDICAIDFLORIDA
5256870507MEDICAIDFLORIDA
6256870506MEDICAIDFLORIDA
7256870508MEDICAIDFLORIDA
8529904030MEDICAIDALABAMA
999659OTHERFLORIDABCBS OF FLORIDA
10256870500MEDICAIDFLORIDA
11CF9776OTHERRR MEDICARE
12256870501MEDICAIDFLORIDA
13256870503MEDICAIDFLORIDA

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: 11/14/2023

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