| Longevity Health Clinic, Inc | |
|
4100 Olympia Cir Ste 106 Charlottesville VA 22911-3620 | |
| (434) 260-3306 | |
| (434) 206-8020 |
| Full Name | Longevity Health Clinic, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 4100 Olympia Cir Ste 106, Charlottesville, Virginia |
| Authorized Official Name and Position | Jason Itri (OWNER AND MEDICAL DIRECTOR) |
| Authorized Official Contact | 4342609132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Health Clinic, Inc 4100 Olympia Cir Ste 106 Charlottesville VA 22911-3620 Ph: (434) 260-3306 | Longevity Health Clinic, Inc 4100 Olympia Cir Ste 106 Charlottesville VA 22911-3620 Ph: (434) 260-3306 |
| NPI Number | 1063235208 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063235208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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