| NPI | 1902763998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETYSHIA BELARDO Chief Executive Officer 757-290-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |