Organization
PENINSULA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALENCIA BELLE (OWNER)
(757) 826-0020
Entity
Organization
Contact information
Practice address
2115 EXECUTIVE DR, 4-C, HAMPTON, VA 23666-2499
(757) 826-0020
Mailing address
2115 EXECUTIVE DR, 4-C, HAMPTON, VA 23666-2499
(757) 826-0020
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0024000020
VA
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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