Coastal Longevity Llc

LBN: Coastal Longevity Llc
Coastal Longevity Llc is an health care organization with primary practice located at 3128 Kline Dr , Virginia Beach VA 23452-6226. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Coastal Longevity Llc can be contacted via phone (804) 840-8522, or through Gambill, Michael Lucas via phone (804) 840-8522.

Contact Information

Primary practice address
3128 Kline Dr Virginia Beach VA 23452-6226
Phone: (804) 840-8522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gambill, Michael Lucas Doctor of Osteopathy (DO)
Phone: (804) 840-8522

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1912576893
LBN Legal business name Coastal Longevity Llc
DBA Doing business as
Authorized official Gambill, Michael Lucas Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2021
Last updated Jun 23rd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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