Organization
96TH MDG EGLIN AFB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC HOLT (STAFF ANESTHESIOLOGIST)
(617) 840-8249
Entity
Organization
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
895 SANTA ROSA BLVD APT 312, FORT WALTON BEACH, FL 32548-1907
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
02002895A
IN
Other
Enumeration date
07/31/2006
Last updated
06/13/2008
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