Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pensacola Nephrology, PA

Organization Nephrology Physician · NPI 1871535955

Pensacola Nephrology, PA provides Nephrology Physician services in Fort Walton Beach, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

319 Green Acres Rd Ste 103
Fort Walton Beach, FL 32547-1170
Phone: (850) 862-2385
Fax: (850) 862-0482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1871535955
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPensacola Nephrology, PA
Authorized official Justin Dansby — Cfo · (850) 444-7000
Other names Renalus Center For Kidney Care
NPI enumeratedJune 12, 2006
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing addressPo Box 11037, Pensacola, FL 32524-1037

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