Independence Family Medicine
Independence Family Medicine is a Family Medicine Physician in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
Practice location Address checks out
813 Independence Blvd Ste AVirginia Beach, VA 23455-6004
Phone: (757) 333-7625
Fax: (757) 333-7639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 0101024391 (VA) |
|---|
Record details
| NPI number | 1770678450 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Moro — President · (757) 333-7625 |
| NPI enumerated | October 4, 2006 |
| Last updated in NPPES | December 31, 2009 |
| Mailing address | 813 Independence Blvd, Suite A, Virginia Beach, VA 23455-6004 |
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