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INDEPENDENCE FAMILY MEDICINE
NPI 1770678450
Family Medicine in Virginia Beach, VA

Active since October 04, 2006
813 INDEPENDENCE BLVD, SUITE A, VIRGINIA BEACH, VA 23455(757) 333-7625(757) 333-7639 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Independence Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE FAMILY MEDICINE (NPI 1770678450) is a healthcare organization registered as a family medicine in Virginia Beach, Virginia and active in the NPI registry since October 2006. The organization lists Michael Vincent Moro, President, as its authorized official.

NPPES Registry Identity

NPI1770678450
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINDEPENDENCE FAMILY MEDICINE
Location Address813 INDEPENDENCE BLVD, SUITE AVirginia Beach, VA 23455-6004
Mailing Address813 Independence Blvd, Suite AVirginia Beach, VA 23455-6004 · (757) 333-7625 · Fax (757) 333-7639
Phone(757) 333-7625
Fax(757) 333-7639
Organization SubpartNo
Authorized OfficialMichael Vincent MoroPresident · (757) 333-7625
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 31, 2009
✔ NPI 1770678450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101024391
Definition

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.

813 INDEPENDENCE BLVD, Virginia Beach, VA 23455
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Other Identifiers 1

Medicare PINC09188VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINE WARE COOK F.A.A.O
Optometrist
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 490-9091
MARY LANIER HUNTLEY-WAGNER FNP
Nurse Practitioner (Family)
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 333-7625
DAVID DOMACHOWSKI O.D.
Optometrist
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 490-9091
THE EYE SPECIALISTS LTD
Ophthalmology
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 490-9091
DR. DIETRICH ALBERT FELLNER M.D.
Ophthalmology
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 490-9091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independence Family Medicine's NPI number?

The NPI number for Independence Family Medicine is 1770678450. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Independence Family Medicine located?

Independence Family Medicine is located at 813 Independence Blvd Suite A, Virginia Beach, VA 23455. The listed phone number is (757) 333-7625.

What is Independence Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Independence Family Medicine was last updated on December 31, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.