Eisenhower Army Medical Center
Eisenhower Army Medical Center is a Military/U.S. Coast Guard Outpatient Clinic/Center in Doral, Florida. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
3511 NW 91st AveDoral, FL 33172-1216
Phone: (305) 437-1970
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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/U.S. Coast Guard Pharmacy | Taxonomy 332000000X |
Record details
| NPI number | 1164636320 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Eisenhower Army Medical Center |
| Authorized official | Marvin Primos — Ubo Manager · (706) 787-7204 |
| Other names | Southcom Clinic-Ft. Gordon |
| NPI enumerated | May 9, 2007 |
| Last updated in NPPES | January 5, 2015 |
| Mailing address | 300 W Hospital Rd Bldg W, Attn McHf-Pad, Fort Gordon, GA 30905-5741 |