Organization
INTEGRATIVE HYPERBARIC NOVA LLC
Active
Parent organization
VIRGINIA FUNCTIONAL MEDICINE, INC
Other names
Virginia Functional Medicine Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA FUNCTIONAL MEDICINE, INC
Authorized official
NATHANIEL DAVID GOREN (C.O.O.)
(703) 938-1421
Entity
Organization
Contact information
Practice address
19465 DEERFIELD AVE STE 308, LEESBURG, VA 20176-1701
(703) 938-1421
(703) 938-1424
Mailing address
19465 DEERFIELD AVE STE 308, LEESBURG, VA 20176-1701
(571) 595-2610
(703) 938-1424
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
12/29/2021
Last updated
10/31/2025
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