45th Medgrp-Patrick
45th Medgrp-Patrick is a Military/U.S. Coast Guard Outpatient Clinic/Center in Patrick AFB, Florida. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
1381 S Patrick DrPatrick AFB, FL 32925-3606
Phone: (321) 494-8457
Fax: (321) 494-7821
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military/U.S. Coast Guard Outpatient Clinic/Center (primary) | Taxonomy 261QM1100X |
|---|---|
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Taxonomy 261QM1101X |
| Military/U.S. Coast Guard Pharmacy | Taxonomy 332000000X |
Record details
| NPI number | 1518941921 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 45th Medgrp-Patrick |
| Authorized official | Jen Lewandowski — Air Force Ubo Analyst · (703) 817-4030 |
| Other names | Patrick Afb Mtf |
| NPI enumerated | November 30, 2005 |
| Last updated in NPPES | June 16, 2025 |
| Certification date | June 16, 2025 |
| Mailing address | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 |