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Contact Information

45TH MEDGRP-PATRICK
1381 S PATRICK DR
PATRICK AFB, FL32925-3606
 Phone: 321-494-8457
 Fax: 321-494-7821
 Website:
Indicates primary specialty

NPI Profile & details for 45TH MEDGRP-PATRICK

NPI Number 1518941921
LBN Legal business name 45TH MEDGRP-PATRICK
Authorized official JEN LEWANDOWSKI - (AIR FORCE UBO ANALYST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/30/2005
Last updated 06/16/2025 - About 12 months ago
Identifiers
FL Other 10-80465 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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