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 1477501153

Pensacola Nephrology, PA is a Nephrology Physician in Niceville, 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

4304 Lancaster Dr
Niceville, FL 32578-4563
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 number1477501153
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPensacola Nephrology, PA
Authorized official Justin Dansby — Cfo · (850) 444-4700
Other names Renalus Center For Kidney Care
NPI enumeratedMay 4, 2006
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing addressPo Box 11037, Pensacola, FL 32524-1037

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