Individual provider · Type 1 NPI

Benjamin Tebbe-Trujillo

General Practice Physician · Eglin Afb, FL

NPI number 1275320566 Active

Practice location

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

Call (850) 883-8600 Map

Mailing address

200 Sweetgum Ct
Niceville, FL 32578-1253

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XDR.0078261 (CO)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1275320566

Benjamin Tebbe-Trujillo's National Provider Identifier is 1275320566, issued on Apr 22, 2025. 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 Aug 12, 2026.