Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidewater Medical Care PC

Organization Family Medicine Physician · NPI 1053558981

Tidewater Medical Care PC is a Family Medicine Physician in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in
VA
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4608 Thoroughgood Dr
Virginia Beach, VA 23455
Phone: (757) 965-9465
Fax: (757) 965-9491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101058505 (VA)

Record details

NPI number1053558981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Migdonia Montejo — Owner/President · (757) 965-9465
Other names Tidewater Medical Care Pc
NPI enumeratedJanuary 14, 2009
Last updated in NPPESFebruary 3, 2010
Mailing address4608 Thoroughgood Drive, Virginia Beach, VA 23455

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