EGLIN AIR FORCE BASE RESIDENCY PROGRAM

Family Medicine

Active Organization
NPI: 1538504063

Practice Address

11850 DR MARTIN LUTHER KING JR ST N
APT 22-312
St Petersburg, FL 33716

Phone: (206) 883-5357

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X No -
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1538504063 is the National Provider Identifier for EGLIN AIR FORCE BASE RESIDENCY PROGRAM, a Family Medicine provider located in St Petersburg, FL. This NPI was enumerated on May 10, 2013.

Quick Facts

NPI
1538504063
Type
Organization
Enumerated
May 10, 2013
Last Updated
May 10, 2013

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