Eglin Air Force Base Residency Program
NPI 1538504063 · Family Medicine Physician · St Petersburg, FL
Eglin Air Force Base Residency Program is a Family Medicine Physician organization in St Petersburg, FL (NPI 1538504063).
Provider details
- NPI number
- 1538504063
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Paulson, Program Director(850) 883-8192
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-05-10
- Last updated
- 2013-05-10
Frequently asked questions
- What is Eglin Air Force Base Residency Program's NPI number?
- Eglin Air Force Base Residency Program's National Provider Identifier (NPI) is 1538504063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eglin Air Force Base Residency Program?
- Eglin Air Force Base Residency Program is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Eglin Air Force Base Residency Program located?
- Eglin Air Force Base Residency Program's practice location on file with NPPES is 11850 Dr Martin Luther King Jr St N, St Petersburg, FL 33716-1619.
- What is Eglin Air Force Base Residency Program's phone number?
- The practice phone number listed in the NPPES registry for Eglin Air Force Base Residency Program is (206) 883-5357.
- Who is the authorized official for Eglin Air Force Base Residency Program?
- The authorized official listed on Eglin Air Force Base Residency Program's NPPES record is Christopher Paulson, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eglin Air Force Base Residency Program's NPI active?
- Yes — Eglin Air Force Base Residency Program's NPI (1538504063) is active in the NPPES registry as of the last update on 2013-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.