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Organization
UNITED STATES NAVY
Active
Organization
UNITED STATES NAVY
Active
Other names
Navy Medicine Support Command
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK EDWARD WEISS MPAS (PA)
(760) 725-3213
Entity
Organization
Contact information
Practice address
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
(760) 725-3213
Mailing address
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
(760) 725-3213
Taxonomy
Speciality
Code
Description
License number
State
261QM1103X
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/15/2014
Last updated
02/20/2014
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