CENTERCARE FAMILY PRACTICE LLC NPI 1497106504

NPI Information

  • NPI: 1497106504
  • Provider Name: CENTERCARE FAMILY PRACTICE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PEDSPLUS PRIMARY CARE
  • CLIA Number: 49D2123575
  • Address: 1300 EMANCIPATION HWY
    FREDERICKSBURG, VA
    ZIP 22401
  • Phone: (540) 289-2273

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NPI Details

CENTERCARE FAMILY PRACTICE, LLC is a family medicine in Fredericksburg, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTERCARE FAMILY PRACTICE, LLC NPI is 1497106504. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pedsplus Primary Care.

The provider's business location address is:

1300 EMANCIPATION HWY
FREDERICKSBURG, VA
ZIP 22401-600
Phone: (540) 289-2273
Fax: (540) 699-0214

The provider's authorized official is Mickelina Laurore .
The authorized official title is Manager and has the following contact phone number (239) 691-5450.

The CLIA number assigned to this NPI record is 49D2123575 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2016 and was last updated on 12/30/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineVIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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