Jorge A. Naranjo, M.d., P.c. | |
18141 Woodland Park Dr Boykins VA 23827-0365 | |
(757) 654-6545 | |
(757) 654-6176 |
Full Name | Jorge A. Naranjo, M.d., P.c. |
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Speciality | Family Medicine |
Location | 18141 Woodland Park Dr, Boykins, Virginia |
Authorized Official Name and Position | Jorge A. Naranjo (PRESIDENT) |
Authorized Official Contact | 7576546545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jorge A. Naranjo, M.d., P.c. Po Box 365 Boykins VA 23827-0365 Ph: (757) 654-6545 | Jorge A. Naranjo, M.d., P.c. 18141 Woodland Park Dr Boykins VA 23827-0365 Ph: (757) 654-6545 |
NPI Number | 1932332665 |
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Provider Enumeration Date | 08/28/2009 |
Last Update Date | 08/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932332665 | NPI | - | NPPES |
1942304175 | Other | VA | NPI, INDIVIDUAL |
0000000323053 | Other | VA | VIRGINIA |
005614635 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101016682 (Virginia) | Primary |