Organization
6TH MEDGRP-MACDILL
Active
Parent organization
6TH MEDGRP-MACDILL
Other names
MacDill AFB MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
6TH MEDGRP-MACDILL
Authorized official
JEN LEWANDOWSKI (AIR FORCE UBO ANALYST)
(703) 817-4030
Entity
Organization
Contact information
Practice address
3250 ZEMKE AVE, MACDILL AFB, FL 33621
(813) 827-9160
Mailing address
3250 ZEMKE AVE, MACDILL AFB, FL 33621
(813) 827-9160
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-81520
NCPDP
FL
Enumeration date
03/28/2006
Last updated
06/16/2025
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