96th Medgrp-Eglin

NPI #1588647770 in Eglin Afb, Florida

Provider Information

NPI Number: 1588647770
Entity Type: Organization
Organization Name: 96th Medgrp-Eglin
Subpart: Yes (part of a larger organization)
Parent Organization: 96TH MEDGRP-EGLIN
Primary Specialty: Military Hospital - Military General Acute Care Hospital
Enumeration Date: Nov 22, 2005
Last Updated: Jun 16, 2025

Practice Location

Address: 307 BOATNER RD
Address 2: SUITE 114
City: Eglin Afb
State: Florida
ZIP Code: 32542-1302
Phone: (850) 883-9015

Authorized Official

Name: JEN LEWANDOWSKI
Title: AIR FORCE UNIFORM BUSINESS OFFICE
Phone: (703) 817-4030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military/U.S. Coast Guard Pharmacy	332000000X
Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient	261QM1100X
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure	261QM1101X
Military Hospital - Military General Acute Care Hospital — Military General Acute Care Hospital	2865M2000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Michael Scot Pagano, PHARMACIST	Military Hospital - Military General Acute Care Hospital	Riviera Beach	AI Deep Dive
MRS. Tejal Patel, DPT	Military Hospital - Military General Acute Care Hospital	Gainesville	AI Deep Dive

Organizations

Provider Name	Specialty	City
Nhc Pensacola Part of Nhc Pensacola	Military Hospital - Military General Acute Care Hospital	Pensacola	AI Deep Dive
Nh Jacksonville Part of Nh Jacksonville	Military Hospital - Military General Acute Care Hospital	Jacksonville	AI Deep Dive
James a Haley Va	Military Hospital - Military General Acute Care Hospital	Tampa	AI Deep Dive

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