Healthcare Provider Details

I. General information

NPI: 1366622557
Provider Name (Legal Business Name): ERIC HURLEY PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 08/13/2025
Certification Date: 08/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVY MEDICINE OPERATIONAL TRAINING COMMAND (NMOTC) 220 HOVEY RD
PENSACOLA FL
32508
US

IV. Provider business mailing address

NAVY MEDICINE OPERATIONAL TRAINING COMMAND (NMOTC) 220 HOVEY ROAD
PENSACOLA FL
32508-1047
US

V. Phone/Fax

Practice location:
  • Phone: 850-452-4554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: