MR. Torsak Vimoktayon, IDC
NPI #1194947507 in Atlantic Beach, Florida
Provider Information
- NPI Number
- 1194947507
- Entity Type
- Individual
- Name
- MR. Torsak Vimoktayon, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- May 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1147 MAYPORT LANDING CIR
- City
- Atlantic Beach
- State
- Florida
- ZIP Code
- 32233-2296
- Phone
- (904) 372-4602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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