Integrative Hyperbaric Nova LLC
Preventive Medicine, Undersea and Hyperbaric Medicine in Leesburg, VA. Organization (NPI-2).
NPI number1295495331
StatusActive
Last updated in NPPESOct 31, 2025
Details
- NPI
- 1295495331
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrative Hyperbaric Nova LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 29, 2021
- Certification date
- Oct 31, 2025
- Last updated
- Oct 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0011X | Preventive Medicine, Undersea and Hyperbaric Medicine | – | – | Yes |
| 2083X0100X | Preventive Medicine, Occupational Medicine | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 207QA0505X | Family Medicine, Adult Medicine | – | – |
Other names
- Virginia Functional Medicine INC (Other Name)
Practice location
19465 Deerfield Ave Ste 308Leesburg, VA 20176-1701
Phone 703-938-1421 · Fax 703-938-1424
Mailing address
19465 Deerfield Ave Ste 308Leesburg, VA 20176-1701
Phone 571-595-2610 · Fax 703-938-1424
Authorized official
Nathaniel David Goren
C.O.O.
7039381421
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