Coastal Family Practice Pc in Virginia Beach - Primary Care

Coastal Family Practice Pc - NPI 1295893097

Coastal Family Practice Pc is a Primary Care in Virginia Beach, Virginia. Coastal Family Practice Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Coastal Family Practice Pc is 1295893097. The last update date is 2009-01-30.

Coastal Family Practice Pc's current location address is 2109 Mccomas Way, Virginia Beach, Virginia. You can contact this provider via phone number 7575632800. The mailing address for Coastal Family Practice Pc is 2109 Mccomas Way, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastal Family Practice Pc
Address 2109 Mccomas Way, Virginia Beach, Virginia
Phone Number 7575632800
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Miller B Mitchell
Credentials MD
Telephone Number 7575632800

NPI Number Detail

NPI Number 1295893097
Provider Enumeration Date 2006-12-05
Last Updated Date 2009-01-30

Provider Mailing Address Detail

Address 2109 Mccomas Way
City Virginia Beach
State Virginia (VA)
Post Code 234563909
Phone Number 7575632800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 101032190
Definition:
Serves as the first point of contact for comprehensive healthcare services.

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FAQs about Coastal Family Practice Pc

What is the unique identifier code issued to Coastal Family Practice Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Coastal Family Practice Pc has been assigned the NPI (National Provider Identifier) 1295893097. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Coastal Family Practice Pc's facilities are geographically located?

The facilities of Coastal Family Practice Pc are physically situated at the following location: 2109 Mccomas Way, Virginia Beach, VA, 234563909.

What is Coastal Family Practice Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Coastal Family Practice Pc's area of specialization is Primary Care, and the corresponding taxonomy code that categorizes this field of practice is 261Qp2300X.

On what date did the Coastal Family Practice Pc receive its 1295893097 assignment from the Centers for Medicare & Medicaid Services?

The Coastal Family Practice Pc was assigned its 1295893097 by the Centers for Medicare & Medicaid Services on 2006-12-05.

As of what date were the details related to Coastal Family Practice Pc most recently updated or revised?

The information pertaining to Coastal Family Practice Pc, including its address, specialty, and other relevant details, was last updated or revised on 2009-01-30.

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