Lee D. Ettinger, M.D., P.A.

LBN: Lee D. Ettinger, M.D., P.A.
Lee D. Ettinger, M.D., P.A. is an health care organization with primary practice located at 914 Mar Walt Dr # C , Fort Walton Beach FL 32547. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Lee D. Ettinger, M.D., P.A. can be contacted via phone (850) 863-3199, or through Benoit, Christie via phone (850) 974-7120.

Contact Information

Primary practice address
914 Mar Walt Dr # C Fort Walton Beach FL 32547
Phone: (850) 863-3199
Fax: (850) 863-3196
Website:
Map and Directions
Authorized official contact:
Name: Benoit, Christie
Phone: (850) 974-7120

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME35386 Florida

Profile Details

NPI number 1356482103
LBN Legal business name Lee D. Ettinger, M.D., P.A.
DBA Doing business as
Authorized official Benoit, Christie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 20th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356482103 NPPES
Florida MEDICAID 067872400
Florida Other 110007848

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