MEDICARE: DEPARTMENT OF VETERANS AFFAIRS

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
1	261Q00000X	Clinic/Center	12760	FL

General Provider Information

NPI Number	:	1982686036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPARTMENT OF VETERANS AFFAIRS

Provider Business Mailing Address
First Line	:	1833 BOULEVARD
Second Line	:	SUITE A
City	:	JACKSONVILLE
State	:	FL
Zip	:	32206-4382
Country	:	US
Telephone Number	:	904-232-2751
Fax Number	:	904-232-1570

Provider Business Practice Location Address
First Line	:	1833 BOULEVARD
Second Line	:	SUITE A
City	:	JACKSONVILLE
State	:	FL
Zip	:	32206-4382
Country	:	US
Telephone Number	:	904-232-2751
Fax Number	:	904-232-1570

Authorized Official
Title or Position	:	CHIEF PHARMACIST
Name	:	DR. FEACHER LEROY WILLIAMS JR.
Credential	:	PHARMD
Telephone Number	:	904-232-2751

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1740289180 — SIDDIQA K KHAN MD
Practice Location Address:

1833 BOULEVARD , VA OUTPATIENT CLINIC
JACKSONVILLE, FL
32206-4382

Practice Phone: 904-232-2751
Practice Fax: 904-301-2502

1497757827 — DR. HOLLY LOUISE HANCOCK MD
Practice Location Address:

1833 BOULEVARD , VA OUTPATIENT CLINIC, CARDIOLOGY
JACKSONVILLE, FL
32206-4382

Practice Phone: 904-232-2751
Practice Fax:

1366436982 — MR. BRUCE D JEFFRIES DO
Practice Location Address:

1833 BOULEVARD
JACKSONVILLE, FL
32206-4382

Practice Phone: 352-335-9100
Practice Fax: 904-232-2149

1518958081 — BRENDA R. WILLIAMS
Practice Location Address:

1833 BOULEVARD
JACKSONVILLE, FL
32206-4382

Practice Phone: 904-232-2751
Practice Fax: 904-232-1570

1306817713 — MARIE GAY C NAVASERO MD
Practice Location Address:

1833 BOULEVARD
JACKSONVILLE, FL
32206-4382

Practice Phone: 904-232-2751
Practice Fax: 904-301-2503

1891756904 — MS. KERRI L ELFVIN PA
Practice Location Address:

1833 BOULEVARD , UFJP - DEPT. OF CHFM/ SHANDS TOTAL CARE CLINIC
JACKSONVILLE, FL
32206-4382

Practice Phone: 904-383-1040
Practice Fax: 904-244-8952

Directions to “DEPARTMENT OF VETERANS AFFAIRS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.