RCG Pensacola, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

RCG PENSACOLA, LLC

Doing business as

Renal Care Group Destin

Practice address

7720 US Highway 98 W Ste 150
Miramar Beach, FL 32550-7235

Phone

(850) 622-9717

Fax

(850) 622-1935

NPI assigned

Aug 31, 2006

Last updated

Aug 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• RENAL CARE GROUP DESTIN Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Care Group of the Southeast, Inc.

  dba Fresenius Medical Care Sacred Heart Pediatric

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pensacola, FL
  • NPI 1265544001

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1073625810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 US HIGHWAY 98 W STE 150",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507235",
            "telephone_number": "850-622-9717",
            "fax_number": "850-622-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 US HIGHWAY 98 W STE 150",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507235",
            "telephone_number": "850-622-9717",
            "fax_number": "850-622-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCG PENSACOLA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENAL CARE GROUP DESTIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Psychological Care Services of FL, LLC
• Jacquelyn Esther Puglia, M.D.
• Christina Pullam, RN
• Presley Noelle Pulse, FNP-C
• Travis S Raymer
• Brittney Recor
• Ashley Redmond, RN
• Reliance Healthcare and Rehab Services
• Robin C Remark-Zarate, M.D.
• Jennifer Brenn Repine

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.