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LEE D. ETTINGER M.D. P.A. NPI 1356482103


NPI Information

NPI: 1356482103
Provider Name: LEE D. ETTINGER, M.D., P.A.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
914 MAR WALT DR # C
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-3199
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LEE D. ETTINGER, M.D., P.A. is a pulmonary disease internal medicine in Fort Walton Beach, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. LEE D. ETTINGER, M.D., P.A. NPI is 1356482103. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

914 MAR WALT DR # C
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-3199
Fax: (850) 863-3196

The provider's authorized official is Christie Benoit .
The authorized official title is Manager and has the following contact phone number (850) 974-7120.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseME35386FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1067872400MEDICAIDFLORIDA
2110007848OTHERFLORIDAMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.