Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 100

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Independent Duty Corpsman Providers

NPI Name Type Address

1699060525

MR. IDC Noel Antonio Martinez

Individual

2104 Massey Ave

Jacksonville, FL

1144438490

MR. DMT,IDC James Burton Sevy

Individual

304 N Mccarthy Ave

Suite 117

Eglin Afb, FL

1669753620

Jon Anthony I Eustaquio

Individual

1905 W Intendencia St

Pensacola, FL

1053689752

Michael S Hamman

Individual

321 Bullfinch Rd

Panama City, FL

1770728107

Gabriel P Hogg

Individual

600 8th Ave Se

St Petersburg, FL

1629342076

MR. IDC Jose Luis Alonso

Individual

3560 Ocean Shore Blvd

Ormond Beach, FL

1679540645

IDC Samuel Thomas Gilliland

Individual

Naval Hospital Jacksonville

2080 Child St

Jacksonville, FL

1346586880

MR. Aaron A Johnson

Individual

10636 Wild Azalea Ct

Jacksonville, FL

1295072114

MR. IDC Angelo Luis Sanchez JR.

Individual

350 Crag Rd

Panama City, FL

1265871024

IDC Tiffany Ann Salveson

Individual

938 Patrol Rd

Bldg 938

Jacksonville, FL

1841462579

US NAVY IDC Jeromy Cronin

Individual

321 Bullfinch Rd

Panama City Beach, FL

1073945374

SFIDC Orlando Ortiz

Individual

534 Halstead Dr

Davenport, FL

1497184030

Kang Kim

Individual

2080 Child St

Jacksonville, FL

1700217379

Joshua Kitchens

Individual

9922 Moss Side Ln

Jacksonville, FL

1366863102

Clayton Pascik

Individual

Bldg 1488 Massey Ave.

Jacksonville, FL

1558555094

Christopher Ryan Loving

Individual

321 Bullfinch Rd

Panama City Beach, FL

1154465649

INDEPENDENT DUTY HS Michelle Diane Foster-dumm

Individual

14750 Nw 44th Ct

Opa Locka, FL

1437562113

John Campbell

Individual

350 Crag Rd

Panama City, FL

1972910867

IDC Joshua D Drew

Individual

975b Eldorado St

Jacksonville, FL

1588907042

IDC Devon Schefano

Individual

1204 Massey Ave

Mayport, FL

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1002X
Specialization Independent Duty Corpsman
Display Name Independent Duty Corpsman
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689