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PENSACOLA NEPHROLOGY PA NPI 1467495424


NPI Information

NPI: 1467495424
Provider Name: PENSACOLA NEPHROLOGY PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
5149 N 9TH AVE
SUITE G35
PENSACOLA, FL
ZIP 32504
Phone: (850) 471-1445
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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 1467495424. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5149 N 9TH AVE
SUITE G35
PENSACOLA, FL
ZIP 32504-756
Phone: (850) 471-1445
Fax: (850) 471-9705

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 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
1256870506MEDICAIDFLORIDA
2256870501MEDICAIDFLORIDA
3256870500MEDICAIDFLORIDA
4256870502MEDICAIDFLORIDA
5256870504MEDICAIDFLORIDA
6529904030MEDICAIDALABAMA
70358OTHERFLORIDAMED3000/HEALTH 1ST NETWOR
8256870507MEDICAIDFLORIDA
9256870508MEDICAIDFLORIDA
10256870503MEDICAIDFLORIDA
11256870505MEDICAIDFLORIDA
1299659OTHERFLORIDABCBS OF FLORIDA
13CF9776OTHERRR MEDICARE

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.