Individual provider · Type 1 NPI
Alfonzo L. Jacobs, SFIDC
Independent Duty Corpsman · Wildwood, FL
Practice location
707 Moss St
Wildwood, FL 34785-0932
Mailing address
PO Box 932, 707 Moss St
Wildwood, FL 34785-0932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
Independent Duty Corpsman: 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 othe…
About NPI 1760672364
Alfonzo L. Jacobs, SFIDC's National Provider Identifier is 1760672364, issued on Jul 30, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Wildwood, FL. The record was last updated on Jul 30, 2007.