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PENSACOLA NEPHROLOGY PA NPI 1245273242


NPI Information

NPI: 1245273242
Provider Name: PENSACOLA NEPHROLOGY PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 10D1041397

Address:
2583 GULF BREEZE PKWY
GULF BREEZE, FL
ZIP 32563
Phone: (850) 444-7000
Get Directions

PENSACOLA NEPHROLOGY PA is a nephrology internal medicine in Gulf Breeze, 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 1245273242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2583 GULF BREEZE PKWY
GULF BREEZE, FL
ZIP 32563-043
Phone: (850) 444-7000
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) 444-4700.

The CLIA number assigned to this NPI record is 10D1041397 - physician office with a certificate type of Certificate of Waiver.

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
1256870505MEDICAIDFLORIDA
2256870507MEDICAIDFLORIDA
3256870502MEDICAIDFLORIDA
4256870503MEDICAIDFLORIDA
5256870500MEDICAIDFLORIDA
6CF9776OTHERRR MEDICARE
70358OTHERFLORIDAMED3000/HEALTH 1ST NETWOR
8256870501MEDICAIDFLORIDA
9256870504MEDICAIDFLORIDA
10256870506MEDICAIDFLORIDA
11256870508MEDICAIDFLORIDA
1299659OTHERFLORIDABCBS OF 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.