Organization
PAHALA PARK LLC
Active
Other names
Coastal Event Medical Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P LEWIS (OWNER/COO)
(757) 373-8815
Entity
Organization
Contact information
Practice address
2240 W GREAT NECK RD, VIRGINIA BEACH, VA 23451-1506
(757) 373-8815
Mailing address
2240 W GREAT NECK RD, VIRGINIA BEACH, VA 23451-1506
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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