| Beachtown Health Care Pllc | |
|
3750 Chesterfield Ave Virginia Beach VA 23455-2940 | |
| (757) 460-7189 | |
| Not Available |
| Full Name | Beachtown Health Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3750 Chesterfield Ave, Virginia Beach, Virginia |
| Authorized Official Name and Position | Raymond Iglecia (OWNER) |
| Authorized Official Contact | 7574607189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachtown Health Care Pllc 3750 Chesterfield Ave Virginia Beach VA 23455-2940 Ph: (757) 460-7189 | Beachtown Health Care Pllc 3750 Chesterfield Ave Virginia Beach VA 23455-2940 Ph: (757) 460-7189 |
| NPI Number | 1124251491 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 07/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124251491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101057390 (Virginia) | Primary |
| 208D00000X | General Practice | 0101057390 (Virginia) | Secondary |
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