OrganizationActive
Pensacola Nephrology, PA
NPI 1023051083 · Nephrology Physician · Jay, FL
Provider details
- NPI number
- 1023051083
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pensacola Nephrology, PA
- Organization subpart
- Yes
- Authorized official
- Justin Dansby, Cfo(850) 444-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
14114 Alabama St
Jay, FL 32565-1219
Phone: (850) 444-4700
Fax: (850) 434-8144
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11037
Pensacola, FL 32524-1037
Other names (DBA / former)
- Doing business as
- Renalus Center for Kidney Care
- Doing business as
- Renalus Center for Kidney Care
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.