Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 79

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Military Health Care Provider Providers

NPI Name Type Address

1265762017

MRS. Tamara Grigaltchik

Individual

12105 Madrid Ave

North Port, FL

1821008806

MRS. APRN-BC Maria Agustin

Individual

4614 Baybrook Dr

Pensacola, FL

1477940138

Lisa Daily

Individual

2080 Child St

Jacksonville, FL

1134576390

IDC Nathan Jamal Pena

Individual

1320 Bailey Ave

Jacksonville, FL

1699744565

DR. M.D. Jay Sourbeer

Individual

321 Bullfinch Road

Navy Experimental Diving Unit

Panama City, FL

1932487493

Danae Adrianne Johnson

Individual

3250 Zemke Ave

Macdill Afb, Medical Clinic

Macdill Afb, FL

1699847632

DR. M.D. Elizabeth Peebles Sager

Individual

307 Boatner Rd

Eglin Afb, FL

1275027435

Jessie Huynh

Individual

307 Boatner Rd

Eglin Afb, FL

1326512443

MISS TCM Francine Dorce I

Individual

2300 Lynbrooke View Ct Apt 4

Orlando, FL

1245881994

CNA Matthew Kerwin Church

Individual

2020 Glenwood Hammock Rd

Deland, FL

1043854771

DR. DDS Trey Jeremy Coke

Individual

Navy Medicine Support Command Attn: Medical Staff Svcs

Bldg H 2005 Knight Lane

Jacksonville, FL

1548808546

MR. Patrick S. Merriman

Individual

Navy Medicine Support Command Att: Medical Staff Svcs

Bldg H 2005 Knight Lane

Jacksonville, FL

1790131316

Camille Amede Eggebroten

Individual

220 Hovey Rd

Pensacola, FL

1669963823

DR. MD Eric Raymond Krivensky

Individual

2080 Child St

Jacksonville, FL

1578703419

DR. MD Reynaldo Gomez III

Individual

2005 Knight Lane Bldg. H

Navy Medicine Support Cmd, Attn: Medical Staff Services

Jacksonville, FL

1124640164

DR. MD Sydney Giblin

Individual

340 Boatner Rd

Eglin Afb, FL

1447872387

DR. MD Wesley Charles Wagers

Individual

96 Mdos/sgof

307 Boatner Road, Suite 114

Eglin Afb, FL

1811517212

DR. DO Joseph Nario Lipat

Individual

2080 Child St

Jacksonville, FL

1346537008

DR. MD Juan David Guerra

Individual

220 Hovey Rd

Pensacola, FL

1093225013

PA Caren Linnea Martagon

Individual

3250 Zemke Ave

Tampa, FL

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 171000000X
Display Name Military Health Care Provider
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Independent Duty Medical Technicians

1710I1003X • providers: 1,299