MR. JOSE VICTOR NAZARIO IDMT
NPI 1184850760
Military Health Care Provider - Independent Duty Medical Technicians in Tyndall Afb, FL

Active since June 09, 2009
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403(240) 216-3247 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jose Victor Nazario Idmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSE VICTOR NAZARIO IDMT (NPI 1184850760) is an individual independent duty medical technicians provider in Tyndall Afb, Florida and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1184850760
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. JOSE VICTOR NAZARIOCredential: IDMT
Location Address325 MDG, 340 MAGNOLIA CIRCLETyndall Afb, FL 32403-8888
Mailing Address628 Ed Moye RdLa Grange, NC 28551-8888 · (240) 216-3247
Sole ProprietorNo
Enumeration DateJune 9, 2009
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedOctober 25, 2021
NPI 1184850760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
325 MDG, Tyndall Afb, FL 32403

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
325 MDG, 325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Physical Therapist
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Social Worker (Clinical)
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Dietitian, Registered
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Nazario's NPI number?

The NPI number for Jose Nazario is 1184850760. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Jose Nazario located?

Jose Nazario practices at 325 Mdg 340 Magnolia Circle, Tyndall Afb, FL 32403. The listed phone number is (240) 216-3247.

What is Jose Nazario's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jose Nazario was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.