Healthcare Provider Details

I. General information

NPI: 1104097567
Provider Name (Legal Business Name): FAMILY FOOT CARE CENTERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2008
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 VOLVO PKWY SUITE 130
CHESAPEAKE VA
23320-2811
US

IV. Provider business mailing address

801 VOLVO PKWY SUITE 130
CHESAPEAKE VA
23320-2811
US

V. Phone/Fax

Practice location:
  • Phone: 757-547-3668
  • Fax: 757-547-4335
Mailing address:
  • Phone: 757-547-3668
  • Fax: 757-547-4335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. MARC J FINK
Title or Position: PHYSICIAN
Credential: DPM
Phone: 757-547-3668