PENSACOLA NEPHROLOGY PA NPI 1477501153

NPI Information

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'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 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 10D0983873 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/4/2006 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:

Other Identifiers

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