SPORA MEDICAL PC. NPI 1861013583

NPI Information

SPORA MEDICAL, PC. is a primary care clinic center in Virginia Beach, VA. SPORA MEDICAL, PC. NPI is 1861013583. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4445 CORPORATION LN STE 264
VIRGINIA BEACH, VA
ZIP 23462-262
Phone: (773) 389-1899

The provider's authorized official is Lakisa Davis .
The authorized official title is Com and has the following contact phone number (773) 389-1899.

The enumeration date for this NPI number is 5/5/2020 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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