Organization · Type 2 NPI

Pensacola Nephrology, PA

Nephrology Physician · Jay, FL

NPI number 1023051083 Active

Practice location

14114 Alabama St
Jay, FL 32565-1219

Call (850) 444-4700 Map

Fax (850) 434-8144

Mailing address

PO Box 11037
Pensacola, FL 32524-1037

Specialties and licenses

Taxonomy	Code	License
Nephrology Physician Primary	207RN0300X	None listed

Nephrology Physician: 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.

21 other providers at this address

NPI record

NPI: 1023051083
Entity type: Organization (Type 2)
Issued: Jun 14, 2006
Last updated: Feb 19, 2025
Status: Active
Subpart: Yes of Pensacola Nephrology, PA

Other names

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Renalus Center for Kidney Care · doing business as
Renalus Center for Kidney Care · doing business as

Authorized official

Justin Dansby
CFO
(850) 444-7000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023051083

Pensacola Nephrology, PA's National Provider Identifier is 1023051083, issued on Jun 14, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Jay, FL. The record was last updated on Feb 19, 2025.