MEDICARE: WEST PALM BEACH 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
1	261QV0200X	VA Clinic/Center

General Provider Information

NPI Number	:	1699728683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST PALM BEACH VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94467
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4467
Country	:	US
Telephone Number	:	866-793-4591
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 SOUTH 25TH STREET
Second Line	:	SUITE 103
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-4711
Country	:	US
Telephone Number	:	866-793-4591
Fax Number	:

Authorized Official
Title or Position	:	NPI TEAM MEMBER
Name	:	ERIN POTTER
Credential	:
Telephone Number	:	202-382-2579

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	03/28/2023

Similar Medicare Providers

1942546551 — PATTRA FARTHING DODD LCSW
Practice Location Address:

1901 S 25TH ST , SUITE 103
FORT PIERCE, FL
34947-4711

Practice Phone: 772-595-5150
Practice Fax: 772-595-6560

1316357379 — EARNESTINE BANKS PHARMD
Practice Location Address:

1901 S 25TH ST , SUITE 103
FORT PIERCE, FL
34947-4711

Practice Phone: 772-595-5150
Practice Fax: 772-595-6560

1659153583 — ELIZABETH KING POST LCSW
Practice Location Address:

1901 S 25TH ST
FORT PIERCE, FL
34947-4711

Practice Phone: 772-595-5150
Practice Fax:

1447014592 — OLHA LUNARDINI
Practice Location Address:

1901 S 25TH ST
FORT PIERCE, FL
34947-4711

Practice Phone: 772-595-5150
Practice Fax:

1982459434 — BLAIQ SERVICES
Practice Location Address:

4711 S INDIAN RIVER DR
FORT PIERCE, FL
34982-7769

Practice Phone: 916-952-5532
Practice Fax:

1437904091 — JUSTIN DUHARTE SAC
Practice Location Address:

4711 S INDIAN RIVER DR
FORT PIERCE, FL
34982-7769

Practice Phone: 916-952-5532
Practice Fax:

Directions to “WEST PALM BEACH VAMC ” 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.