Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Torsak Vimoktayon, IDC

Individual provider Independent Duty Corpsman · NPI 1194947507

Mr. Torsak Vimoktayon, IDC is an Independent Duty Corpsman in Atlantic Beach, Florida. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

1147 Mayport Landing Cir
Atlantic Beach, FL 32233-2296
Phone: (904) 372-4602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1194947507
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007