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Organization

OPTIMA HEALTH PLAN

Active
Other names
Sentara Community Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
DORIS PRINCE (DIRECTOR)
(757) 983-5475
Entity
Organization

Contact information

Practice address
800 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-6011
(757) 388-1830
(855) 939-7172
Mailing address
800 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-6011
(757) 388-1830
(855) 939-7172

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician

Other

Enumeration date
09/15/2022
Last updated
06/27/2023
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