Healthcare Provider Details

I. General information

NPI: 1578214516
Provider Name (Legal Business Name): SAILON PLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2829 SHORE DR STE 200
VIRGINIA BEACH VA
23451-1498
US

IV. Provider business mailing address

2829 SHORE DR STE 200
VIRGINIA BEACH VA
23451-1498
US

V. Phone/Fax

Practice location:
  • Phone: 757-734-1000
  • Fax: 757-734-1001
Mailing address:
  • Phone: 757-734-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER MARINO SAILON
Title or Position: OWNER
Credential: MD
Phone: 757-734-1000