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MR. ALFONZO L JACOBS SFIDC
NPI 1760672364
Military Health Care Provider - Independent Duty Corpsman in Wildwood, FL

Active since July 30, 2007
707 MOSS ST, WILDWOOD, FL 34785(228) 246-9613 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Alfonzo L Jacobs Sfidc NPPES

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

MR. ALFONZO L JACOBS SFIDC (NPI 1760672364) is an individual independent duty corpsman provider in Wildwood, Florida and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1760672364
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. ALFONZO L JACOBSCredential: SFIDC
Location Address707 MOSS STWildwood, FL 34785-0932
Mailing AddressPo Box 932, 707 Moss StWildwood, FL 34785-0932 · (228) 246-9613
Phone(228) 246-9613
Sole ProprietorNo
Enumeration DateJuly 30, 2007
✔ NPI 1760672364 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.
707 MOSS ST, Wildwood, FL 34785
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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 Alfonzo Jacobs's NPI number?

The NPI number for Alfonzo Jacobs is 1760672364. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Alfonzo Jacobs located?

Alfonzo Jacobs practices at 707 Moss St, Wildwood, FL 34785. The listed phone number is (228) 246-9613.

What is Alfonzo Jacobs'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 Alfonzo Jacobs was last updated on July 30, 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.