Organization
PENTUS HEALTH PRIMARY CARE WB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN REYES (COO)
(407) 756-3474
Entity
Organization
Contact information
Practice address
1116 PROFESSIONAL DR STE A, WILLIAMSBURG, VA 23185-3378
(844) 973-6887
Mailing address
2273 LEE RD, WINTER PARK, FL 32789-7217
(844) 973-6887
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/12/2025
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