NPI 1184850760

Jose Victor Nazario, IDMT

Practitioner Independent Duty Medical Technicians Tyndall Afb, FL

Practice location

Address: 325 Mdg 340 Magnolia Circle, Tyndall Afb, FL 32403-8888
Phone: (240) 216-3247
Mailing address: 628 Ed Moye Rd, La Grange, NC 28551-8888

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1184850760
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2009
Record last updated: 10 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.