OrganizationActive
Coastal Family Practice PC
NPI 1295893097 · Primary Care Clinic/Center · Virginia Beach, VA
Provider details
- NPI number
- 1295893097
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mitchell Miller, President
- License
- 0101032190 (VA)
Practice location
2109 Mccomas Way
Suite 102
Virginia Beach, VA 23456-3909
Phone: (757) 563-2800
Mailing address
2109 Mccomas Way
Virginia Beach, VA 23456-3909
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2009-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.