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LEE D. ETTINGER, M.D., P.A.
NPI 1356482103
Internal Medicine - Pulmonary Disease in Fort Walton Beach, FL

Active since February 12, 2007
914 MAR WALT DR # C, FORT WALTON BEACH, FL 32547(850) 863-3199(850) 863-3196 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lee D. Ettinger, M.d., P.a. NPPES

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

LEE D. ETTINGER, M.D., P.A. (NPI 1356482103) is a healthcare organization registered as a pulmonary disease in Fort Walton Beach, Florida and active in the NPI registry since February 2007. The organization lists Christie Benoit, Manager, as its authorized official.

NPPES Registry Identity

NPI1356482103
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameLEE D. ETTINGER, M.D., P.A.
Location Address914 MAR WALT DR # CFort Walton Beach, FL 32547
Mailing AddressPo Box 792Shalimar, FL 32579-0792
Phone(850) 863-3199
Fax(850) 863-3196
Organization SubpartNo
Authorized OfficialChristie BenoitManager · (850) 974-7120
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 20, 2018
✔ NPI 1356482103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in FL · ME35386
Definition
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.
914 MAR WALT DR # C, Fort Walton Beach, FL 32547
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Other Identifiers 2

Medicaid067872400FL
Other110007848FL · Medicare Railroad

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Lee D. Ettinger, M.D., P.A.'s NPI number?

The NPI number for Lee D. Ettinger, M.D., P.A. is 1356482103. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Lee D. Ettinger, M.D., P.A. located?

Lee D. Ettinger, M.D., P.A. is located at 914 Mar Walt Dr # C, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-3199.

What is Lee D. Ettinger, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Lee D. Ettinger, M.D., P.A. was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.