Civista Clinical Services LLC
Civista Clinical Services LLC is a Multi-Specialty Clinic/Center in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2010.
- Licensed in
- MD
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11315 Pembrooke Sq Ste 111Waldorf, MD 20603-4806
Phone: (301) 843-3150
Fax: (301) 843-2560
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X · Licence D0065304 (MD) |
|---|
Record details
| NPI number | 1831417476 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Civista Medical Center |
| Authorized official | Ivette Montes De Oca — Practice Manager · (301) 843-3150 |
| Other names | Civista Women'S Health Center; Civista Women'S Health Center |
| NPI enumerated | May 6, 2010 |
| Last updated in NPPES | December 17, 2019 |
| Certification date | December 17, 2019 |
| Mailing address | 5 Garrett Avenue, Po Box 1070, La Plata, MD 20646-1070 |
Other providers in Waldorf
-
Hispanic American Pediatrics & Family Care LLC
2255 Crain Hwy Ste 107, Waldorf, MD 20601-3186 · (301) 818-7272
-
Total Health Medical Center, PC
12106 Old Line Ctr, Waldorf, MD 20602-2553 · (301) 645-8898