BENJAMIN TEBBE-TRUJILLO - NPI 1275320566 - Military Health Care Provider in Eglin Afb, FL

Q: What is the provider's specialty?

The provider's specialty is Military Health Care Provider with taxonomy code 171000000X.

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About Benjamin Tebbe-trujillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN TEBBE-TRUJILLO (NPI 1275320566) is an individual military health care provider provider in Eglin Afb, Florida and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1275320566

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameBENJAMIN TEBBE-TRUJILLO

Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302

Mailing Address200 Sweetgum CtNiceville, FL 32578-1253

Phone(850) 883-8600

Sole ProprietorNo

Enumeration DateApril 22, 2025

Last NPPES UpdateMay 29, 2025

NPPES CertifiedMay 29, 2025

✔ NPI 1275320566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

307 BOATNER RD STE 114, Eglin Afb, FL 32542

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