96TH MDG EGLIN AFB NPI 1518973908

NPI Information

  • NPI: 1518973908
  • Provider Name: 96TH MDG EGLIN AFB
  • Classification: Military Hospital - 286500000X
  • Entity Type: Organization
  • Address: 1000 MAR WALT DR
    FORT WALTON BEACH, FL
    ZIP 32547
  • Phone: (850) 862-1111

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NPI Details

96TH MDG EGLIN AFB is a military hospital in Fort Walton Beach, FL. The provider is a health care facility operated by the Department of Defense. 96TH MDG EGLIN AFB NPI is 1518973908. The provider is registered as an organization entity type.

The provider's business location address is:

1000 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-708
Phone: (850) 862-1111

The provider's authorized official is Eric Holt .
The authorized official title is Staff Anesthesiologist and has the following contact phone number (617) 840-8249.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 6/13/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1286500000XMilitary Hospital02002895AINDIANAYes

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: 11/21/2025

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