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United States Navy

Organization Active NPI Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center · Jacksonville, FL

NPI 1043632771 · NPPES record last updated Feb 20, 2014

Key facts

NPI
1043632771
Entity type
Organization (NPI type 2)
Primary specialty
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center 261QM1103X
Legal business name
UNITED STATES NAVY
Practice address
2005 Knight Lane BLDG H
Navy Medicine Support Command Attn: Medical Staff SVCS
Jacksonville, FL 32212-0140
Phone
(760) 725-3213
NPI assigned
Jan 15, 2014
Organization subpart
No

Authorized official

Name
Mr. Derek Edward Weiss, MPAS
Title
PA
Phone
(760) 725-3213

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Uss Pasadenassn752 (63 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center 261QM1103X Yes

Addresses

Primary practice location

2005 Knight Lane BLDG H
Navy Medicine Support Command Attn: Medical Staff SVCS
Jacksonville, FL 32212-0140

Mailing address

2005 Knight Lane BLDG H
Navy Medicine Support Command Attn: Medical Staff SVCS
Jacksonville, FL 32212-0140
Phone (760) 725-3213

Other names

  • Navy Medicine Support Command Doing business as

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.