Organization
ADVANCED FOOT & ANKLE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH VINCENT BAVA DPM (OWNER)
(757) 301-9996
Entity
Organization
Contact information
Practice address
2117 MCCOMAS WAY STE 102, VIRGINIA BEACH, VA 23456-3908
(757) 301-9996
(757) 301-9958
Mailing address
2117 MCCOMAS WAY STE 102, VIRGINIA BEACH, VA 23456-3908
(757) 301-9996
(757) 301-9958
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103001037
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9303499
—
VA
Enumeration date
06/16/2010
Last updated
03/15/2023
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