OrganizationActive
Fresenius Vascular Care Pensacola LLC
NPI 1760151682 · Vascular & Interventional Radiology Physician · Crestview, FL
Provider details
- NPI number
- 1760151682
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Fresenius Vascular Care Pensacola LLC
- Organization subpart
- Yes
- Authorized official
- Gregg Miller, Sr. Vice President(610) 644-8900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
221 E Redstone Ave
Crestview, FL 32539-5373
Phone: (850) 398-6606
Street-level locationGet directions
Mailing address
Po Box 419076
Boston, MA 02241-9076
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2021-09-13
- Certified
- 2021-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.