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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Eisenhower Army Medical Center

Military/U.S. Coast Guard Outpatient Clinic/Center in Doral, FL · enumerated 2007 · authorized official Marvin Primos, Ubo Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164636320

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Registry record

Entity type Organization (Type 2)
Legal business name Eisenhower Army Medical Center
Other name <Unavail>
Parent organization Eisenhower Army Medical Center
Practice address 3511 Nw 91st Ave, Doral, FL, 33172
Phone (305) 437-1970
Enumeration date May 9, 2007
Last updated in NPPES Jan 5, 2015

Taxonomy & classification

261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Ambulatory Health Care Facilities Primary
332000000X Military/U.S. Coast Guard Pharmacy Suppliers Secondary

Authorized official

Name Marvin Primos
Title Ubo Manager
Phone (706) 787-7204

Other identifiers

Identifier Type State Issuer
1578660742 Other - PARENT MTF NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Eisenhower Army Medical Center located?
The practice location on file with NPPES is in Doral, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-01-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-05.