Individual provider · Type 1 NPI

Boden James Port, DO

General Practice Physician · Eglin Afb, FL

NPI number 1003519919 Active

Practice location

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302

Call (850) 883-8600 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X02008108A (IN)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1003519919

Boden James Port, DO's National Provider Identifier is 1003519919, issued on Mar 22, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Eglin Afb, FL. The record was last updated on Jul 8, 2026.