OrganizationActive
United States Navy
NPI 1043632771 · Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1043632771
- Entity type
- Organization
- Primary specialty
- Military Ambulatory Procedure Visits Operational (Transportable) Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Derek Weiss, PA
Practice location
2005 Knight Lane Bldg H
Navy Medicine Support Command Attn: Medical Staff Svcs
Jacksonville, FL 32212-0140
Phone: (760) 725-3213
Mailing address
2005 Knight Lane Bldg H
Jacksonville, FL 32212-0140
Registry dates
- Enumerated
- 2014-01-15
- Last updated
- 2014-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.