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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 : 1205607223
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 : 9208 KING PALM DR
Second Line :
City : TAMPA
State : FL
Zip : 33619-1328
Country : US
Telephone Number : 866-793-4591
Fax Number :
Authorized Official
Title or Position : NPI TEAM
Name : ERIN DENISE POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 01/09/2024
Last Update Date : 01/09/2024

Similar Medicare Providers

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1447908744 — SARA MAY GRAHAM MD
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9208 KING PALM DR
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Directions to “TAMPA VAMC ” Practice Location

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