ADVANCED FOOT & ANKLE CARE LLC; NPI #1093036857

Contact Information

ADVANCED FOOT & ANKLE CARE LLC

2117 MCCOMAS WAY STE 102
VIRGINIA BEACH, VA 23456-3908

Phone: 757-301-9996
Fax: 757-301-9958
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ADVANCED FOOT & ANKLE CARE LLC

NPI # 1093036857

LBN Legal business name ADVANCED FOOT & ANKLE CARE LLC

Authorized official JOSEPH BAVA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/16/2010

Last updated 03/15/2023 - About 3 years ago

Identifiers

VA	License #	0103001037
VA	Medicaid	9303499

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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