Bay Pines Vamc
Clinic/Center, VA in Port Charlotte, FL. Organization (NPI-2).
NPI number1649219031
StatusActive
Last updated in NPPESMar 28, 2023
Details
- NPI
- 1649219031
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Pines Vamc
- Organization subpart
- No
- Enumeration date
- Jun 4, 2006
- Certification date
- Mar 28, 2023
- Last updated
- Mar 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | – | – | Yes |
Other names
- Port Charlotte Va Cboc (Other Name)
Practice location
4161 Tamiami TrlUnit 401
Port Charlotte, FL 33952-9204
Phone 866-793-4591
Mailing address
Po Box 94465Cleveland, OH 44101-4465
Phone 866-793-4591
Authorized official
Erin Potter
Npi Team Member
2023822579
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