Norberto Caez, IDC

Individual provider Active NPI Independent Duty Corpsman · Kings Bay, GA

NPI 1285601724 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1285601724
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
881 Uss James Madison Rd
Kings Bay, GA 31547-2531
Phone
(912) 573-2939
Fax
(912) 573-3761
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

881 Uss James Madison Rd
Kings Bay, GA 31547-2531

Mailing address

105 Sunnyside LN
Saint Marys, GA 31558-4708
Phone (912) 673-6085

Other identifiers

IdentifierTypeStateIssuer
1710I002XOtherINDEPENDENT DUTY CORSPMAN

Other providers in Kings Bay, GA

All providers in Kings Bay, GA · Independent Duty Corpsman in Georgia

Sources for this page

Verify at the official NPI Registry.