PENSACOLA NEPHROLOGY PA (NPI# 1548204357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548204357 |
| Entity Type | Organization |
| Organization Name | PENSACOLA NEPHROLOGY PA |
| Practice Address |
6001 Industrial Blvd Century FL 32535-3312 |
| Mailing Address |
1717 N E St Suite 403 Pensacola FL 32501-6339 |
| Practice Telephone | 8504444700 |
| Practice Fax Number | 8504449766 |
| Mailing Telephone | 8504444700 |
| Mailing Fax Number | 8504449766 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MRS. PATRICIA BREELAND (ADMINISTRATOR) |
| Authorized Official Telephone | 8504444700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529904030 | 05 | |
| FL | 256870506 | 05 | |
| FL | BCBS OF FLORIDA | 99659 | 01 |
| FL | 256870504 | 05 | |
| FL | 256870502 | 05 | |
| FL | 256870503 | 05 | |
| FL | 256870500 | 05 | |
| FL | 256870505 | 05 | |
| FL | 256870507 | 05 | |
| FL | 256870501 | 05 | |
| FL | 256870508 | 05 | |
| FL | MED3000/HEALTH 1ST NETWOR | 0358 | 01 |
| RR MEDICARE | CF9776 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| 1871535955 | Pensacola Nephrology Pa | Specialist | 925 Mar Walt Dr, Suite 1, Ft Walton Beach, FL 32547-6759 | 2006-06-12 |
| 1467495424 | Pensacola Nephrology Pa | Specialist | 5149 N 9th Ave, Suite G35, Pensacola, FL 32504-8756 | 2006-06-14 |
| 1245273242 | Pensacola Nephrology Pa | Specialist | 5401 Corporate Woods Dr, Suite 850, Pensacola, FL 32504-8984 | 2006-06-14 |
| 1033167374 | Pensacola Nephrology Pa | Specialist | 550 Redstone Ave W, Suite 200, Crestview, FL 32536-6428 | 2006-05-05 |
| 1477501153 | Pensacola Nephrology Pa | Specialist | 9400 University Pkwy, Suite 109, Pensacola, FL 32514-5752 | 2006-05-04 |
| 1518969765 | Pensacola Nephrology Pa | Internal Medicine | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2005-06-01 |
| Street Address |
6001 INDUSTRIAL BLVD |
| City | CENTURY |
| State | FL |
| Zip Code | 32535-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629180468 | Renal Care Group of The Southeast, Inc. | Clinic/Center | 6001 Industrial Blvd, Century, FL 32535-3312 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952822173 | Escambia Community Clinics Inc | Clinic/Center | 6021 Industrial Blvd, Century, FL 32535 | 2017-06-28 |
| 1558622084 | Candace Elease Whittington | Dentist | 501 Church Street, Century, FL 32535 | 2012-05-31 |
| 1770862567 | Reginold Levi Simmons | General Practice | 400 Tedder Road, Century, FL 32535 | 2011-08-10 |
| 1972697308 | Karin J Pardue | Family Medicine | 8401 N Century Blvd, Century, FL 32535 | 2006-10-02 |
| 1962412262 | Georgia Warren Agrait | Nurse Practitioner | 8401 N Century Blvd, Century, FL 32535 | 2006-08-09 |
| 1952404600 | Holiday Cvs LLC | Pharmacy | 8361 N Century Blvd, Century, FL 32535-1629 | 2006-09-07 |
| 1235149949 | Bascom Clarence Raney | Clinic/Center | 8401 N Century Blvd, Century, FL 32535-1631 | 2006-08-08 |
| 1699192567 | Jay Hospital Inc | Clinic/Center | 8401 N Century Blvd, Century, FL 32535-1631 | 2014-03-27 |
| 1164812962 | Mayo Street Medical, Inc | General Practice | 7600 Mayo St Ste A, Century, FL 32535-2905 | 2015-01-31 |
| 1487799284 | Century Family Practice, Pa | Clinic/Center | 7600 Mayo St, Century, FL 32535-2905 | 2007-02-20 |
| Find all providers in zip 32535 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758893 | Ursula Olazabal | Specialist | 402 N Babcock St Ste 101, Melbourne, FL 32935-7335 | 2020-10-18 |
| 1043818529 | Michele Rosenthal | Specialist | 425 Greenwich Circle, #107, Jupiter, FL 33458-4809 | 2020-10-15 |
| 1184230096 | Lauren Daisey Woodruff | Specialist | 4440 Nelson Ave, Sarasota, FL 34231-7515 | 2020-09-17 |
| 1699385823 | Suzanne Denise Moe | Specialist | 48 Nw 4th St, Homestead, FL 33030-5942 | 2020-08-03 |
| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1417566712 | Angela Berry Williams | Specialist | 5175 W Atlantic Ave Ste C, Delray Beach, FL 33484-8101 | 2020-07-23 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1316562911 | A School 4 Legends LLC | Specialist | 11565 Se 57th Ct, Belleview, FL 34420-4361 | 2020-06-10 |
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1811518384 | Lori Rubin | Specialist | 8181 W Broward Blvd Ste 204, Plantation, FL 33324-2049 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PENSACOLA NEPHROLOGY PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.