OrganizationActive
Lee D. Ettinger, M.D., P.A.
NPI 1356482103 · Pulmonary Disease Physician · Fort Walton Beach, FL
Provider details
- NPI number
- 1356482103
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christie Benoit, Manager(850) 974-7120
- License
- ME35386 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
914 Mar Walt Dr # C
Fort Walton Beach, FL 32547
Phone: (850) 863-3199
Fax: (850) 863-3196
Street-level locationGet directions
Mailing address
Po Box 792
Shalimar, FL 32579-0792
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2018-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.