Robert Lee King, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Naval Branch Health Clinic
2104 Massey Avenue,
Mayport, FL 32228

Phone

(904) 270-4241

NPI assigned

Apr 11, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982667804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 CANYON CREEK TRL S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466652",
            "telephone_number": "904-992-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL BRANCH HEALTH CLINIC",
            "address_2": "2104 MASSEY AVENUE,",
            "city": "MAYPORT",
            "state": "FL",
            "postal_code": "32228",
            "telephone_number": "904-270-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Allen, WHNP
• Eloisa Jordan Castillo, PHARMACY TECHNICIAN
• Allan H Cheiken, BSC PHARMACY
• L.V. Hall Jr., IDC
• Franklin Earl Hart, DDS
• Christopher Charles Leclaire, D.D.S
• William Lopez Jr., DMD, MS, MPA
• NH Jacksonville
• Tracy L. Ross-Fares, LCSW, C-ASWCM
• Devon Schefano, IDC

• Independent Duty Corpsman in Mayport, FL
• Providers in Mayport, FL by specialty
• Independent Duty Corpsman in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.