Tidewater Foot Center LLC
Tidewater Foot Center LLC provides Foot Surgery Podiatrist services in Newport News, Virginia. Licensed in Virginia. Registered with an NPI since 2013.
- Licensed in
- VA
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
126 Monarch DrNewport News, VA 23602-6884 Not confirmed with CMS for 12 years — call before visiting
Phone: (757) 597-1520
Fax: (757) 597-7099
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot Surgery Podiatrist (primary) | Taxonomy 213ES0131X · Licence 0103301081 (VA) |
|---|
Record details
| NPI number | 1891137048 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steven Prak — Sole Owner · (757) 597-7699 |
| NPI enumerated | July 29, 2013 |
| Last updated in NPPES | December 9, 2013 |
| Mailing address | 11747 Jefferson Ave Ste 2a, Newport News, VA 23606-4402 |
Other providers in Newport News
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Dr. Michael Jordan Brassell, DPM
730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 · (757) 873-1554
-
Dr. Howard Michael Roesen, DPM
754 McGuire Pl, Newport News, VA 23601-1630 · (757) 599-5710