SearchFloridaIndependent Duty Corpsman

Steven Undheim, IDC

NPI 1003357559 · on the registry since 2017

Practice

Address
2080 Child St
Jacksonville, FL 32214
Phone
(904) 546-7094
Organisation at this address
Nh Jax
Nh Jacksonville
Nh Jacksonville
United States Navy
The Chesapeake Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
428

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida