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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

96TH MEDGRP-EGLIN

Active Organization

96TH MEDGRP-EGLIN is a 2865M2000X organization located in EGLIN AFB, Florida. NPI 1588647770 is currently active in the NPPES registry. Verify at CMS.

2865M2000X · EGLIN AFB, FL

Registration Details

NPI Number
1588647770
Provider Type
Organization
NPI Issued
Nov 22, 2005 (20.759030183633 yrs)
Last Updated
Jun 16, 2025

Practice Information

Address
307 BOATNER RD
SUITE 114
EGLIN AFB, FL, 325421302
Browse FL providers · Browse ZIP 32542
Phone
8508839015
Fax
8508838659
Primary Specialty
2865M2000X
2865M2000X
Additional Specialty
2865M2000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.