Organization
BEACH ORTHOTICS
Active
Organization
BEACH ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOHN SIBIGA III CFO (PRESIDENT)
(757) 470-5547
Entity
Organization
Contact information
Practice address
6325 N CENTER DR STE 229, NORFOLK, VA 23502-0013
(757) 470-5547
(866) 452-0279
Mailing address
6325 N CENTER DR STE 229, NORFOLK, VA 23502-0013
(757) 470-5547
(866) 452-0279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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