| Sophia Medical Associates, Pc | |
|
603 Kenmore Ave Fredericksburg VA 22401-5722 | |
| (540) 368-9380 | |
| (540) 368-9382 |
| Full Name | Sophia Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 603 Kenmore Ave, Fredericksburg, Virginia |
| Authorized Official Name and Position | Linda A. Villalobos (PRESIDENT) |
| Authorized Official Contact | 5403689380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Medical Associates, Pc 603 Kenmore Ave Fredericksburg VA 22401-5722 Ph: (540) 368-9380 | Sophia Medical Associates, Pc 603 Kenmore Ave Fredericksburg VA 22401-5722 Ph: (540) 368-9380 |
| NPI Number | 1295958791 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9931208758 |
|---|---|
| Medicare Enrollment ID | O20070620000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295958791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda A Villalobos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982744496 PECOS PAC ID: 4385743103 Enrollment ID: I20070620000147 |
| Provider Name | Anthony Paul Zavadil |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528034824 PECOS PAC ID: 4880639335 Enrollment ID: I20070918000098 |
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