Organization
HOSPITAL BASED MEDICAL SERVICES OF VIRGINIA-I, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J BYRNE (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
4600 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408-7762
(540) 498-4000
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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