| Family Medical Practitioners, Inc | |
|
1147 Independence Blvd Virginia Beach VA 23455-5545 | |
| (757) 460-1207 | |
| (757) 460-2136 |
| Full Name | Family Medical Practitioners, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1147 Independence Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Liz M Vambell (ACCT MAN) |
| Authorized Official Contact | 7574601207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Practitioners, Inc 1147 Independence Blvd Virginia Beach VA 23455-5545 Ph: (757) 460-1207 | Family Medical Practitioners, Inc 1147 Independence Blvd Virginia Beach VA 23455-5545 Ph: (757) 460-1207 |
| NPI Number | 1396745915 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0345371910 |
|---|---|
| Medicare Enrollment ID | O20100625000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396745915 | NPI | - | NPPES |
| C03179 | Other | VA | GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
| Provider Name | Daren M Wingard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124027305 PECOS PAC ID: 7416085923 Enrollment ID: I20100504000422 |
| Provider Name | Dawn E Huggins-jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942200563 PECOS PAC ID: 5991965691 Enrollment ID: I20120404000020 |
| Provider Name | Raymond Iglecia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770786550 PECOS PAC ID: 3173892981 Enrollment ID: I20170711002553 |
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