45th Medgrp-Patrick

NPI #1518941921 in Patrick Afb, Florida

Provider Information

NPI Number
1518941921
Entity Type
Organization
Organization Name
45th Medgrp-Patrick
Subpart
Yes (part of a larger organization)
Parent Organization
45TH MEDGRP-PATRICK
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Nov 30, 2005
Last Updated
Jun 16, 2025

Practice Location

Address
1381 S PATRICK DR
State
Florida
ZIP Code
32925-3606
Phone
(321) 494-8457

Authorized Official

Name
JEN LEWANDOWSKI
Title
AIR FORCE UBO ANALYST
Phone
(703) 817-4030

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military and U.S. Coast Guard Ambulatory ProcedureMilitary and U.S. Coast Guard Ambulatory Procedure
Military/U.S. Coast Guard Pharmacy
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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