Provider Demographics
NPI:1164493128
Name:UNITED STATES NAVY
Entity Type:Organization
Organization Name:UNITED STATES NAVY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT HEAD
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUNO
Authorized Official - Middle Name:
Authorized Official - Last Name:DI SCALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:081-811-6155
Mailing Address - Street 1:PSC 827 BOX 104
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09617-1000
Mailing Address - Country:US
Mailing Address - Phone:39334-644-9929
Mailing Address - Fax:
Practice Address - Street 1:PSC 827 BOX 104
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09617-1000
Practice Address - Country:US
Practice Address - Phone:39334-644-9929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL054263286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital