SOUTHCOM CLINIC-FT. GORDON
NPI 1164636320
Clinic/Center - Military/U.S. Coast Guard Outpatient in Doral, FL
About Southcom Clinic-ft. Gordon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHCOM CLINIC-FT. GORDON (NPI 1164636320) is a healthcare organization registered as a military/u.s. coast guard outpatient in Doral, Florida and active in the NPI registry since May 2007. The organization lists Marvin Primos, Ubo Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eisenhower Army Medical Center's NPI number?
The NPI number for Eisenhower Army Medical Center is 1164636320. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Southcom Clinic-Ft. Gordon.
Where is Eisenhower Army Medical Center located?
Eisenhower Army Medical Center is located at 3511 NW 91st Ave, Doral, FL 33172. The listed phone number is (305) 437-1970.
What is Eisenhower Army Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.
When was this NPI record last updated?
The NPPES record for Eisenhower Army Medical Center was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.