Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liberty Healthcare LLC

Organization Family Medicine Physician · NPI 1720332349

Liberty Healthcare LLC provides Family Medicine Physician services in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5589 Greenwich Rd Ste 175
Virginia Beach, VA 23462-6565 Not confirmed with CMS for 13 years — call before visiting
Phone: (757) 216-9115
Fax: (757) 216-9117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 140177 (VA)

Record details

NPI number1720332349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derk Pardoe — Partner · (801) 808-2357
NPI enumeratedNovember 5, 2012
Last updated in NPPESNovember 5, 2012
Mailing address3454 E Stone Mountain Ln, Sandy, UT 84092-6549

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