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NPI Code Detail

MEDICARE: TAMPA VAMC

MEDICARE: TAMPA VAMC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QV0200XVA Clinic/Center

General Provider Information

NPI Number : 1609264951
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAMPA VAMC
Provider Business Mailing Address
First Line : PO BOX 94470
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4470
Country : US
Telephone Number : 866-793-4591
Fax Number :
Provider Business Practice Location Address
First Line : 13515 LAKE TERRACE LN
Second Line :
City : TAMPA
State : FL
Zip : 33637-1003
Country : US
Telephone Number : 866-793-4591
Fax Number :
Authorized Official
Title or Position : NPI TEAM
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 01/08/2015
Last Update Date : 03/28/2023

Similar Medicare Providers

1679547152 — SUZANNE S KNOEPPEL D.O.
Practice Location Address:
13515 LAKE TERRACE LN
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33637-1003
Practice Phone: 813-998-8000
Practice Fax:
1508076340 — DR. AMY LEZAMA PHARM D.
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1861670465 — DR. CLAUDIA LUQUE-PERISIC M.D.
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Practice Fax:
1053671362 — DR. DIANA CAROLINA NARVAEZ M.D.
Practice Location Address:
13515 LAKE TERRACE LN
TAMPA, FL
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Practice Fax:
1942627872 — SHYLAH MARIE MOORE PARDO MD
Practice Location Address:
13515 LAKE TERRACE LN
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33637-1003
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Practice Fax:
1659791739 — DR. NAYIESHA KARIN SANDIFER M.D.
Practice Location Address:
13515 LAKE TERRACE LN
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Practice Phone: 813-998-8000
Practice Fax:

Directions to “TAMPA VAMC ” Practice Location

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