MR. TORSAK VIMOKTAYON, IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1194947507

Practice Address

1147 MAYPORT LANDING CIR
Atlantic Beach, FL 32233

Phone: (904) 372-4602

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1194947507 is the National Provider Identifier for MR. TORSAK VIMOKTAYON, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Atlantic Beach, FL. This NPI was enumerated on May 3, 2007.
MR. TORSAK VIMOKTAYON, IDC practices at 1147 MAYPORT LANDING CIR, Atlantic Beach, FL 32233.

Quick Facts

NPI
1194947507
Type
Individual
Enumerated
May 3, 2007
Last Updated
Jul 8, 2007

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