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
State
Florida
ZIP Code
32233-2296
Phone
(904) 372-4602

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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