Kent Village Medical Center, LLC
NPI #1578979886 in Manassas Park, Virginia
Provider Information
- NPI Number
- 1578979886
- Entity Type
- Organization
- Organization Name
- Kent Village Medical Center, LLC
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Jul 8, 2014
- Last Updated
- Jul 8, 2014
Practice Location
- Address
- 112 KENT VILLAGE SQ
- City
- Manassas Park
- State
- Virginia
- ZIP Code
- 20111-4155
- Phone
- (703) 715-9700
Authorized Official
- Name
- DR. FEDERICO CARLOS GONZALES, M.D.
- Title
- OWNER
- Phone
- (703) 715-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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