Organization
CLUBMDNOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE REKANT (MANAGER)
(757) 404-0073
Entity
Organization
Contact information
Practice address
941 BOBOLINK DR, VIRGINIA BEACH, VA 23451-4945
(757) 404-0296
Mailing address
300 32ND ST STE 420, VIRGINIA BEACH, VA 23451-2968
(757) 404-0073
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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