PENSACOLA NEPHROLOGY PA NPI 1477501153

NPI Information

  • NPI: 1477501153
  • Provider Name: PENSACOLA NEPHROLOGY, PA
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • :
  • Address: 4304 LANCASTER DR
    NICEVILLE, FL
    ZIP 32578
  • Phone: (850) 862-2385

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NPI Details

PENSACOLA NEPHROLOGY, PA is a nephrology internal medicine in Niceville, 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 1477501153. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4304 LANCASTER DR
NICEVILLE, FL
ZIP 32578-563
Phone: (850) 862-2385
Fax: (850) 862-0482

The provider's authorized official is Justin Dansby .
The authorized official title is Cfo and has the following contact phone number (850) 444-4700.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 2/19/2025.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1256870508MEDICAIDFLORIDA
2256870506MEDICAIDFLORIDA
3256870500MEDICAIDFLORIDA
4256870503MEDICAIDFLORIDA
5256870501MEDICAIDFLORIDA
6256870505MEDICAIDFLORIDA
7256870502MEDICAIDFLORIDA
8256870507MEDICAIDFLORIDA
9256870504MEDICAIDFLORIDA

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: 11/21/2025

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