MEDICARE: MIAMI VA HEALTHCARE SYSTEM

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	282N00000X	General Acute Care Hospital	ME 96966	FL

General Provider Information

NPI Number	:	1184793739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI VA HEALTHCARE SYSTEM

Provider Business Mailing Address
First Line	:	6039 COLLINS AVE APT 1632
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2256
Country	:	US
Telephone Number	:	305-861-7697
Fax Number	:

Provider Business Practice Location Address
First Line	:	6039 COLLINS AVE APT 1632
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2256
Country	:	US
Telephone Number	:	305-861-7697
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL CHIEF OF STAFF
Name	:	DR. JOHN VARA
Credential	:	M.D
Telephone Number	:	305-324-4455

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/22/2020

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