# INTEGRATIVE HYPERBARIC NOVA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIRGINIA FUNCTIONAL MEDICINE, INC
- **Other names:** Virginia Functional Medicine Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295495331
- **Legal business name:** VIRGINIA FUNCTIONAL MEDICINE, INC
- **Authorized official:** NATHANIEL DAVID GOREN (C.O.O.)
- **Authorized official phone:** (703) 938-1421

## Contact information

- **Practice address:** 19465 DEERFIELD AVE STE 308, LEESBURG, VA 20176-1701
- **Practice address phone:** (703) 938-1421
- **Practice address fax:** (703) 938-1424
- **Mailing address:** 19465 DEERFIELD AVE STE 308, LEESBURG, VA 20176-1701
- **Mailing address phone:** (571) 595-2610
- **Mailing address fax:** (703) 938-1424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2021
- **Last updated:** 10/31/2025