| 325th Medical Group (usaf) | |
|
340 Magnolia Cir Optometry Clinic Tyndall A F B FL 32403-5604 | |
| (850) 283-7005 | |
| (850) 283-7123 |
| Full Name | 325th Medical Group (usaf) |
|---|---|
| Speciality | Clinic/center |
| Location | 340 Magnolia Cir, Tyndall A F B, Florida |
| Authorized Official Name and Position | Daniel Kulund (CHIEF OF THE MEDICAL STAFF) |
| Authorized Official Contact | 8502837717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 325th Medical Group (usaf) 340 Magnolia Circle Optometry Clinic Tyndall Afb FL 32403 Ph: (850) 283-7005 | 325th Medical Group (usaf) 340 Magnolia Cir Optometry Clinic Tyndall A F B FL 32403-5604 Ph: (850) 283-7005 |
| NPI Number | 1487628384 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487628384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OEG000484 (Pennsylvania) | Primary |