# PROCARE WELLNESS NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROCARE WELLNESS INSTITUTE OF VIRGINIA BEACH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760174825
- **Authorized official:** DOMENICK PISCIOTTA (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (516) 315-4732

## Contact information

- **Practice address:** 293 INDEPENDENCE BLVD, PEMBROKE 5, SUITE 330, VIRGINIA BEACH, VA 23462
- **Practice address phone:** (757) 222-3100
- **Mailing address:** 293 INDEPENDENCE BLVD, PEMBROKE 5, SUITE 330, VIRGINIA BEACH, VA 23462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 05/25/2023