Individual provider · Type 1 NPI

Derrick Lavar Raysor, IDC

Independent Duty Corpsman · Jacksonville, FL

NPI number 1942512231 Active

Practice location

2104 Massey Ave
Jacksonville, FL 32228

Call (904) 270-4233 Map

Mailing address

10088 Kit Fox Pkwy
Jacksonville, FL 32222-4188

Other practice locations

  • 1212 E 1st St Apt 88, Jacksonville, FL 32206-5338 · (904) 686-6040
  • 2080 Child St, Jacksonville, FL 32214-5338 · (904) 542-7300

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone 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…

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About NPI 1942512231

Derrick Lavar Raysor, IDC's National Provider Identifier is 1942512231, issued on Jul 2, 2010. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 5, 2019.