# UNITED STATES NAVY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Navy Medicine Support Command
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043632771
- **Authorized official:** MR. DEREK EDWARD WEISS MPAS (PA)
- **Authorized official phone:** (760) 725-3213

## Contact information

- **Practice address:** 2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
- **Practice address phone:** (760) 725-3213
- **Mailing address:** 2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
- **Mailing address phone:** (760) 725-3213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1103X | Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2014
- **Last updated:** 02/20/2014