| NPI | 1871664060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR REEVES Nomi Credentials, Pensacola, Fl 850-452-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient (Licence: VA 0101240250) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: VA 0101240250) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2020-08-22 |