Organization · Type 2 NPI

RCG Pensacola, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Miramar Beach, FL

NPI number 1073625810 Active

Practice location

7720 US Highway 98 W Ste 150
Miramar Beach, FL 32550-7235

Fax (850) 622-1935

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1073625810
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Aug 4, 2021
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

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Renal Care Group Destin · doing business as

Authorized official

Barry L. Blanton
Vice President
(781) 699-9000

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About NPI 1073625810

RCG Pensacola, LLC's National Provider Identifier is 1073625810, issued on Aug 31, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Miramar Beach, FL. The record was last updated on Aug 4, 2021.