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Contact Information

TIDEWATER HYPERBARIC
129 WEST VIRGINIA BEACH BLVD
SUITE 140 A
NORFOLK, VA23510
 Phone: 757-452-3935
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for TIDEWATER HYPERBARIC

NPI # 1598282998
LBN Legal business name TIDEWATER HYPERBARIC
Authorized official CARA MAE MELTON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2017
Last updated 08/25/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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