Organization
LYNNHAVEN FOOT AND ANKLE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J. VUOLO JR. DPM (PRESIDENT)
(757) 963-6363
Entity
Organization
Contact information
Practice address
1547 AMBERLEY FOREST RD, VIRGINIA BEACH, VA 23453-4706
(757) 963-6363
(757) 363-3453
Mailing address
1547 AMBERLEY FOREST RD, VIRGINIA BEACH, VA 23453-4706
(757) 963-6363
(757) 363-3453
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300951
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0103300951
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026024
—
VA
01
—
5936440001
MEDICARE DMEPOS
VA
Enumeration date
01/18/2007
Last updated
02/26/2008
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