Organization
MIDLOMED LLC
Active
Other names
MidloMed
Organization subpart
No
Provider details
NPI number
Authorized official
GINA K SMOOT FNP (FAMILY NURSE PRACTITIONER)
(804) 375-1660
Entity
Organization
Contact information
Practice address
5930 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2169
(804) 893-0337
(689) 202-0711
Mailing address
5930 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2169
(804) 893-0337
(689) 202-0711
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/08/2024
Last updated
09/02/2025
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