Individual
MICHELLE BRODASKY COVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
477 MCLAWS CIR STE 1, WILLIAMSBURG, VA 23185-6316
(757) 984-9650
(757) 510-9232
Mailing address
477 MCLAWS CIR STE 1, WILLIAMSBURG, VA 23185-6316
(757) 984-9650
(757) 510-9232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102206488
VA
207Q00000X
Family Medicine Physician
OS12513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012038800
—
FL
01
—
14UW2
FLORIDA BLUE
FL
Enumeration date
08/07/2013
Last updated
03/18/2021
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