IndividualActive
Antonio Boyd, SUBMARINE IDC
NPI 1790387348 · Independent Duty Corpsman · Norfolk, VA
Provider details
- NPI number
- 1790387348
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SUBMARINE IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
9168 2nd St Ste 200
Norfolk, VA 23511-2328
Phone: (562) 308-8569
Approximate (ZIP-level) locationGet directions
Mailing address
1811 Tealwood Ln
Chesapeake, VA 23320-0638
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.