| |
1200 South Military Hwy Chesapeake VA 23320 | |
(757) 424-5778 | |
(757) 523-1699 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1200 South Military Hwy, Chesapeake, Virginia |
Authorized Official Name and Position | Florence Vergara Paragas (PRESIDENT) |
Authorized Official Contact | 7574245778 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1200 South Military Hwy Chesapeake VA 23320 Ph: (757) 424-5778 | 1200 South Military Hwy Chesapeake VA 23320 Ph: (757) 424-5778 |
NPI Number | 1316077894 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 11/04/2009 |
Medicare PECOS PAC ID | 9234033846 |
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Medicare Enrollment ID | O20031125000445 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316077894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (Virginia) | Primary |
Provider Name | Florence V Paragas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700916053 PECOS PAC ID: 0941392377 Enrollment ID: I20070815000478 |
Provider Name | Ashley Nickole Fuster |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174092118 PECOS PAC ID: 8628400769 Enrollment ID: I20191112001306 |
Provider Name | Donna Marie Bradshaw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487276192 PECOS PAC ID: 2062839301 Enrollment ID: I20200901000784 |
Provider Name | Francesca Paragas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720784317 PECOS PAC ID: 0042663262 Enrollment ID: I20240124001887 |
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