NPI 1053558981

Tidewater Medical Care PC

Organisation Family Medicine Physician Virginia Beach, VA

Practice location

Address: 4608 Thoroughgood Drive, Virginia Beach, VA 23455
Phone: (757) 965-9465
Fax: (757) 965-9491

Authorised official

Name: Migdonia Montejo
Title: Owner/President
Phone: (757) 965-9465

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0101058505 (VA)

Other Family Medicine providers in Virginia →

Registry record

NPI: 1053558981
Entity type: Organization
NPI issued: 14 Jan 2009
Record last updated: 3 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.