Healthcare Provider Details

I. General information

NPI: 1083929491
Provider Name (Legal Business Name): VANN VIRGINIA CENTER FOR ORTHOPAEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2010
Last Update Date: 08/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 CAMELOT DR SUITE 300
VIRGINIA BEACH VA
23454-2440
US

IV. Provider business mailing address

230 CLEARFIELD AVE SUITE 124
VIRGINIA BEACH VA
23462-1832
US

V. Phone/Fax

Practice location:
  • Phone: 757-321-4284
  • Fax: 757-321-4287
Mailing address:
  • Phone: 757-321-3300
  • Fax: 757-321-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. CECIL FM MORRIS IV
Title or Position: CFO PRACTICE ADMINISTRATOR
Credential:
Phone: 757-321-3300