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Pensacola Nephrology Pa
Nephrology Physician in Fort Walton Beach, Florida
NPI 1871535955

Pensacola Nephrology Pa is a Nephrology Physician based in Pensacola, FL and is specialized in Nephrology. Pensacola Nephrology Pa practices in Fort Walton Beach, FL. The NPI Number for Pensacola Nephrology Pa is 1871535955 and holds a License No. (Florida).

The current practice location address for Pensacola Nephrology Pa is 319 Green Acres Rd Ste 103, Fort Walton Beach, FL and can be reached out via phone at 850-862-2385 and via fax at 850-862-0482.

Location: 319 Green Acres Rd Ste 103, Fort Walton Beach, FL, 32524-1037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871535955
Provider Name
Pensacola Nephrology Pa
Credential
Provider Entity Type
Organization
Address
319 Green Acres Rd Ste 103, Fort Walton Beach, FL, 32524-1037
Phone Number
850-862-2385
Fax Number
850-862-0482
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
256870500 05 FL
256870503 05 FL
256870506 05 FL
529904030 05 AL
CF9776 01 RR MEDICARE
256870502 05 FL
256870507 05 FL
256870508 05 FL
256870505 05 FL
0358 01 FL MED3000/HEALTH 1ST NETWOR
99659 01 FL BCBS OF FLORIDA
256870501 05 FL
256870504 05 FL
institution
Provider Business Practice Location Address Details
Address
319 Green Acres Rd Ste 103
City
Fort Walton Beach
State
Florida
Zip
32547-1170
Phone Number
850-862-2385
Fax Number
850-862-0482
person
Provider Business Mailing Address Details
Address
319 Green Acres Rd Ste 103
City
Fort Walton Beach
State
Florida
Zip
32547-1170
Phone Number
850-862-2385
Fax Number
850-862-0482
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
()
Definition
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.
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