Organization
PROCARE WELLNESS NETWORK INC
Active
Organization
PROCARE WELLNESS NETWORK INC
Active
Other names
PROCARE WELLNESS INSTITUTE OF VIRGINIA BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICK PISCIOTTA (AUTHORIZED OFFICIAL)
(516) 315-4732
Entity
Organization
Contact information
Practice address
293 INDEPENDENCE BLVD, PEMBROKE 5, SUITE 330, VIRGINIA BEACH, VA 23462
(757) 222-3100
Mailing address
293 INDEPENDENCE BLVD, PEMBROKE 5, SUITE 330, VIRGINIA BEACH, VA 23462
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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