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1118 W Mercury Blvd Hampton VA 23666-3328 | |
(757) 276-9526 | |
(877) 487-2116 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1118 W Mercury Blvd, Hampton, Virginia |
Authorized Official Name and Position | Angie Martinez (SENIR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | 1118 W Mercury Blvd Hampton VA 23666-3328 Ph: (757) 276-9526 |
NPI Number | 1144920497 |
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Provider Enumeration Date | 03/06/2023 |
Last Update Date | 08/19/2024 |
Identifier | Type | State | Issuer |
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1144920497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Mbs Child Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Second St, Hampton, VA 23664 Phone: 767-902-6108 | |
Gastroenterology Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Marcella Rd, Suite A, Hampton, VA 23666 Phone: 757-826-6539 | |
Southampton Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Executive Dr, Hampton, VA 23666 Phone: 757-723-0252 Fax: 866-837-2972 | |