Organization
KEMPSVILLE PRIMARY MEDICAL CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSUE APILAN MIRANDA MD (OWNER)
(757) 473-0003
Entity
Organization
Contact information
Practice address
5136 PRINCESS ANNE RD, VIRGINIA BCH, VA 23462-4228
(757) 473-0003
(757) 497-9510
Mailing address
5136 PRINCESS ANNE RD, VIRGINIA BCH, VA 23462-4228
(757) 473-0003
(757) 497-9510
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101034998
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7320256
—
VA
Enumeration date
03/06/2008
Last updated
03/07/2008
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