OrganizationActive
Eisenhower Army Medical Center
NPI 1164636320 · Military/U.S. Coast Guard Outpatient Clinic/Center · Doral, FL
Provider details
- NPI number
- 1164636320
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Eisenhower Army Medical Center
- Authorized official
- Marvin Primos, Ubo Manager
Mailing address
300 W Hospital Rd Bldg W
Fort Gordon, GA 30905-5741
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2015-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.