MEDICARE: ELITE WOMEN'S CARE

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	174400000X	Specialist	0101227544	VA

General Provider Information

NPI Number	:	1134377179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE WOMEN'S CARE

Provider Business Mailing Address
First Line	:	5280 HENNEMAN DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-2503
Country	:	US
Telephone Number	:	757-395-4455
Fax Number	:	757-233-1792

Provider Business Practice Location Address
First Line	:	5280 HENNEMAN DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-2503
Country	:	US
Telephone Number	:	757-395-4455
Fax Number	:	757-233-1792

Authorized Official
Title or Position	:	MD
Name	:	KEISHA L BURFOOT
Credential	:	MD
Telephone Number	:	757-395-4455

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	11/05/2021

Similar Medicare Providers

1821008632 — MRS. KEISHA L BURFOOT M.D.
Practice Location Address:

5280 HENNEMAN DR
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1053323659 — MALENA C SAMPLE M.D.
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1649292483 — GLENNETTA B WHITE D.D.S.
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1033295068 — MRS. LEANNE M PERRY
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1639328560 — DIANE ELIZABETH MCCANN PT, DPT, CSCS
Practice Location Address:

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Directions to “ELITE WOMEN'S CARE ” Practice Location

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