| NPI | 1295495331 |
|---|---|
| Other Name | VIRGINIA FUNCTIONAL MEDICINE INC |
| Entity Type | Organization |
| Authorized Contact | NATHANIEL DAVID GOREN C.O.O. 703-938-1421 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 207QA0505X Family Medicine, Adult Medicine | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2025-10-31 |