Organization · Type 2 NPI
Passport Health Holdings LLC
Clinic/Center · Norfolk, VA
NPI number
1518397405
Active
Practice location
400 N. Center Drive, Building 3 Suite 108
Norfolk, VA 23502-0002
Fax (877) 877-6875
Mailing address
668 N 44th St, Suite 100W
Phoenix, AZ 85008-6507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1518397405
Passport Health Holdings LLC's National Provider Identifier is 1518397405, issued on Nov 14, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Norfolk, VA. The record was last updated on Apr 1, 2022.