IndividualActive
Davin Laurell, SURFACE FORCE IDC
NPI 1790132330 · Independent Duty Corpsman · Virginia Beach, VA
Provider details
- NPI number
- 1790132330
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SURFACE FORCE IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1300 Helicopter Rd Bldg 3854
Virginia Beach, VA 23459-8913
Phone: (757) 756-6749
Approximate (ZIP-level) locationGet directions
Mailing address
1300 Helicopter Rd Bldg 3854
Virginia Beach, VA 23459-8913
Registry dates
- Enumerated
- 2016-05-24
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.