Renalus Center For Kidney Care

LBN: Pensacola Nephrology Pa
Renalus Center For Kidney Care is an health care organization with primary practice located at 319 Green Acres Rd Ste 103 , Fort Walton Beach FL 32547-1170. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Pensacola Nephrology Pa can be contacted via phone (850) 862-2385, or through Ros, Shantelle via phone (850) 444-7000.

Contact Information

Primary practice address
319 Green Acres Rd Ste 103 Fort Walton Beach FL 32547-1170
Phone: (850) 862-2385
Fax: (850) 862-0482
Website:
Map and Directions
Authorized official contact:
Name: Ros, Shantelle
Phone: (850) 444-7000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1871535955
LBN Legal business name Pensacola Nephrology Pa
DBA Doing business as Renalus Center For Kidney Care
Authorized official Ros, Shantelle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 11th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871535955 NPPES
Florida MEDICAID 256870500
Florida MEDICAID 256870503
Florida MEDICAID 256870506
Florida MEDICAID 529904030
Florida Other CF9776
Florida MEDICAID 256870502
Florida MEDICAID 256870507
Florida MEDICAID 256870508
Florida MEDICAID 256870505
Florida Other 0358
Florida Other 99659
Florida MEDICAID 256870501
Florida MEDICAID 256870504

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