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INDIVIDUAL PROVIDER
NPI 1376890293
Military Hospital in Eglin, FL

Active since August 09, 2012
307 BOATNER ROAD SUITE 114, 96TH MEDICAL GROUP, EGLIN, FL 32542(850) 883-8600 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Individual Provider NPPES

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

INDIVIDUAL PROVIDER (NPI 1376890293) is a healthcare organization registered as a military hospital in Eglin, Florida and active in the NPI registry since August 2012. The organization lists Chuong Nguyen Thai, Major, as its authorized official.

NPPES Registry Identity

NPI1376890293
Entity TypeOrganization
Primary Taxonomy286500000X
Legal Business NameINDIVIDUAL PROVIDER
Location Address307 BOATNER ROAD SUITE 114, 96TH MEDICAL GROUPEglin, FL 32542
Mailing Address307 Boatner Road Suite 114, 96th Medical GroupEglin, FL 32542 · (850) 883-8600
Phone(850) 883-8600
Organization SubpartNo
Authorized OfficialChuong Nguyen ThaiMajor · (850) 883-9055
Enumeration DateAugust 9, 2012
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1376890293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary HospitalHospitals
Taxonomy Code286500000X
Definition
A health care facility operated by the Department of Defense.
307 BOATNER ROAD SUITE 114, Eglin, FL 32542
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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 Individual Provider's NPI number?

The NPI number for Individual Provider is 1376890293. It was assigned to this organization in the NPPES registry on August 9, 2012.

Where is Individual Provider located?

Individual Provider is located at 307 Boatner Road Suite 114 96th Medical Group, Eglin, FL 32542. The listed phone number is (850) 883-8600.

What is Individual Provider's specialty?

The primary specialty registered for this NPI is Military Hospital with taxonomy code 286500000X.

When was this NPI record last updated?

The NPPES record for Individual Provider was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.