Pensacola Nephrology Pa in Fort Walton Beach - Specialist
Pensacola Nephrology Pa - NPI 1871535955
Pensacola Nephrology Pa is a Specialist in Fort Walton Beach, Florida. Pensacola Nephrology Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pensacola Nephrology Pa is 1871535955. The last update date is 2021-06-11.
Pensacola Nephrology Pa's current location address is 319 Green Acres Rd Ste 103, Fort Walton Beach, Florida. You can contact this provider via phone number 8508622385 and fax number 8508620482. The mailing address for Pensacola Nephrology Pa is 319 Green Acres Rd Ste 103, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pensacola Nephrology Pa |
|---|---|
| Address | 319 Green Acres Rd Ste 103, Fort Walton Beach, Florida |
| Phone Number | 8508622385 |
| Fax Number | 8508620482 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Ros Shantelle |
| Telephone Number | 8504447000 |
NPI Number Detail
| NPI Number | 1871535955 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2021-06-11 |
Provider Mailing Address Detail
| Address | 319 Green Acres Rd Ste 103 |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325471170 |
| Phone Number | 8508622385 |
| Fax Number | 8508620482 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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. |
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Post Comment/ Review Below
What is the Pensacola Nephrology Pa's 1871535955?
The Pensacola Nephrology Pa's NPI (National Provider Identifier) Number is 1871535955. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pensacola Nephrology Pa?
The Pensacola Nephrology Pa is situated at 319 Green Acres Rd Ste 103, in the city of Fort Walton Beach, state of FL, with the zip code 325471170.
What is the Pensacola Nephrology Pa's area of specialization and corresponding taxonomy classification?
The Pensacola Nephrology Pa's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did Pensacola Nephrology Pa receive its 1871535955 assignment?
The Pensacola Nephrology Pa was assigned its 1871535955 on 2006-06-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Pensacola Nephrology Pa most recently updated or revised?
The information pertaining to Pensacola Nephrology Pa, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-11.