Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lee D. Ettinger, MD, PA

Organization Pulmonary Disease Physician · NPI 1356482103

Lee D. Ettinger, MD, PA is a Pulmonary Disease Physician in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

914 Mar Walt Dr # C
Fort Walton Beach, FL 32547
Phone: (850) 863-3199
Fax: (850) 863-3196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence ME35386 (FL)

Record details

NPI number1356482103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christie Benoit — Manager · (850) 974-7120
NPI enumeratedFebruary 12, 2007
Last updated in NPPESAugust 20, 2018
Mailing addressPo Box 792, Shalimar, FL 32579-0792

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