Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 100
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Christopher Daniel Gallagher |
Individual |
321 Bullfinch Rd Panama City Beach, FL |
|
|
MR. Julian Vincent |
Individual |
3861 Aubrey Ln Orange Park, FL |
|
|
IDC Justin Allan Willis |
Individual |
8353 Iris Ave Seminole, FL |
|
|
MR. SFIDC David Morales JR. |
Individual |
2480 Bon Hommes Richard St Naval Station Mayport Jacksonville, FL |
|
|
SFIDC William Henry Meyers III |
Individual |
1608 Pine Mark Ct Fleming Island, FL |
|
|
MR. IDC Aaron Patrick Morrow |
Individual |
6033 Caladesi Ct Jacksonville, FL |
|
|
Noah James Serigny |
Individual |
6000 W Highway 98 Pensacola, FL |
|
|
MR. IDC Steven Lee Undheim |
Individual |
2080 Child St Jacksonville, FL |
|
|
IDC George Williams Osorio |
Individual |
1734 Forest Lakes Cir Apt D West Palm Beach, FL |
|
|
IDC Bryan Michael Clarke |
Individual |
6000 W Highway 98 Pensacola, FL |
|
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Lawrence Coronel Jimenez |
Individual |
760 East Ave Bldg 3911 Pensacola, FL |
|
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IDC Derrick Lavar Raysor |
Individual |
2104 Massey Ave Jacksonville, FL |
|
|
IDC Sasha Velasco |
Individual |
100 Macarthur Cswy Miami Beach, FL |
|
|
Anthony Briel |
Individual |
305 S Crag Road Panama City, FL |
|
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IDC Jenny Lee Mahoney |
Individual |
55281 Yellow Jacket Dr Callahan, FL |
|
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Michael O'connell |
Individual |
8201 Bardmoor Pl Apt 203d Seminole, FL |
|
|
IDC James Ernest Claypool |
Individual |
12411 Glenn Hollow Dr Jacksonville, FL |
|
|
IDC Alberto Kris Cipollone |
Individual |
Bon Homme Richard Ave Bldg 2480 Jacksonville, FL |
|
|
SFIDC Cheryl Lynne Parker |
Individual |
Bon Homme Richard Street Bldg #2480 Jacksonville, FL |
|
|
Huriel A Rivera Aponte |
Individual |
Naval Station Mayport Surflant Medical Readiness Division Detachment Mayport Jacksonville, 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...
| 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 |