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MR. TORSAK VIMOKTAYON IDC
NPI 1194947507
Military Health Care Provider - Independent Duty Corpsman in Atlantic Beach, FL

Active since May 03, 2007
1147 MAYPORT LANDING CIR, ATLANTIC BEACH, FL 32233(904) 372-4602 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Torsak Vimoktayon Idc NPPES

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

MR. TORSAK VIMOKTAYON IDC (NPI 1194947507) is an individual independent duty corpsman provider in Atlantic Beach, Florida and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1194947507
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. TORSAK VIMOKTAYONCredential: IDC
Location Address1147 MAYPORT LANDING CIRAtlantic Beach, FL 32233-2296
Mailing Address1147 Mayport Landing CirAtlantic Beach, FL 32233-2296
Phone(904) 372-4602
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194947507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1147 MAYPORT LANDING CIR, Atlantic Beach, FL 32233
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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 Torsak Vimoktayon's NPI number?

The NPI number for Torsak Vimoktayon is 1194947507. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Torsak Vimoktayon located?

Torsak Vimoktayon practices at 1147 Mayport Landing Cir, Atlantic Beach, FL 32233. The listed phone number is (904) 372-4602.

What is Torsak Vimoktayon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Torsak Vimoktayon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.