MEDICARE: VELOCITY URGENT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1194561738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VELOCITY URGENT CARE LLC

Provider Business Mailing Address
First Line	:	1944 CENTERVILLE TPKE STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6839
Country	:	US
Telephone Number	:	757-362-9067
Fax Number	:	833-627-3753

Provider Business Practice Location Address
First Line	:	1944 CENTERVILLE TPKE STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6839
Country	:	US
Telephone Number	:	757-362-9067
Fax Number	:	833-627-3753

Authorized Official
Title or Position	:	VP
Name	:	BARBARA SMITH
Credential	:
Telephone Number	:	757-772-6134

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/03/2024

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