Individual provider · Type 1 NPI

Robert Lee King, IDC

Independent Duty Corpsman · Mayport, FL

NPI number 1982667804 Active

Practice location

Naval Branch Health Clinic, 2104 Massey Avenue,
Mayport, FL 32228

Mailing address

12955 Canyon Creek Trl S
Jacksonville, FL 32246-6652

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 1982667804

Robert Lee King, IDC's National Provider Identifier is 1982667804, issued on Apr 11, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Mayport, FL. The record was last updated on Jul 13, 2026.