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Organization
US NAVY
Active
Organization
US NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELEANOR REEVES (NOMI CREDENTIALS, PENSACOLA, FL)
(850) 452-9484
Entity
Organization
Contact information
Practice address
340 HULSE RD BLDG 665 SUITE 105, 850-452-8051, PENSACOLA, FL 32508-1089
(850) 452-8051
Mailing address
2792 COTTONWOOD LN, PENSACOLA, FL 32514-5917
(708) 370-1616
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
0101240250
VA
286500000X
Military Hospital
Primary
0101240250
VA
Other
Enumeration date
11/11/2006
Last updated
09/11/2025
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