Eglin Air Force Base Residency Program

LBN: Eglin Air Force Base Residency Program
Eglin Air Force Base Residency Program is an health care organization with primary practice located at 11850 Dr Martin Luther King Jr St N Apt 22-312, St Petersburg FL 33716-1619. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Eglin Air Force Base Residency Program can be contacted via phone (206) 883-5357, or through Paulson, Christopher via phone (850) 883-8192.

Contact Information

Primary practice address
11850 Dr Martin Luther King Jr St N Apt 22-312 St Petersburg FL 33716-1619
Phone: (206) 883-5357
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Paulson, Christopher Doctor of Medicine (MD)
Phone: (850) 883-8192

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Florida
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Florida

Profile Details

NPI number 1538504063
LBN Legal business name Eglin Air Force Base Residency Program
DBA Doing business as
Authorized official Paulson, Christopher Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2013
Last updated May 10th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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