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
—
—
Other
Enumeration date
01/15/2014
Last updated
02/20/2014
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