Coastal Longevity LLC
Coastal Longevity LLC is a Health Service Clinic/Center in Virginia Beach, Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3128 Kline DrVirginia Beach, VA 23452-6226
Phone: (804) 840-8522
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
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1912576893 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Gambill — Ceo · (804) 840-8522 |
| NPI enumerated | June 23, 2021 |
| Last updated in NPPES | June 23, 2021 |
| Certification date | June 23, 2021 |
| Mailing address | 3128 Kline Dr, Virginia Beach, VA 23452-6226 |
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