NPI | 1285031963 |
---|---|
Doing Business As | AZURA VASCULAR CARE RENALUS PENSACOLA |
Entity Type | Organization |
Authorized Contact | GREGG MILLER Authorized Official 717-515-4048 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Additional Taxonomies | 2086S0129X |
207RN0300X Internal Medicine, Nephrology | |
Enumeration Date | 2014-11-25 |
Last Update Date | 2025-09-22 |