SPORA MEDICAL, PC.

VIRGINIA BEACH, VA
NPI1922695949
Entity TypeOrganization
Authorized ContactLAKISA DAVIS
Com
773-389-1899
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Additional Taxonomies207Q00000X Family Medicine
207R00000X Internal Medicine
261QM2500X Clinic/Center, Medical Specialty
363A00000X Physician Assistant
363L00000X Nurse Practitioner
363LF0000X Nurse Practitioner, Family
363LP2300X Nurse Practitioner, Primary Care
374J00000X Doula
Enumeration Date2020-12-23
Last Update Date2022-06-11
Business Address
SPORA MEDICAL, PC.
4445 CORPORATION LN STE 264
VIRGINIA BEACH, VA 23462-3262
Phone number: 773-389-1899
Mailing Address
SPORA MEDICAL, PC.
4445 CORPORATION LN STE 264
VIRGINIA BEACH, VA 23462-3262
Phone number: 773-389-1899