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NPI Code Detail

MEDICARE: GAINESVILLE VAMC

MEDICARE: GAINESVILLE 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
1332100000XDepartment of Veterans Affairs (VA) Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11007120OTHERFLNCDPDP#

General Provider Information

NPI Number : 1720036296
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAINESVILLE VAMC
Provider Business Mailing Address
First Line : PO BOX 140794
Second Line :
City : ORLANDO
State : FL
Zip : 32814-0794
Country : US
Telephone Number : 407-622-4142
Fax Number :
Provider Business Practice Location Address
First Line : 2181 ORANGE AVE E
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-6144
Country : US
Telephone Number : 850-513-7377
Fax Number : 850-513-8013
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : MS. ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/05/2006
Last Update Date : 03/09/2022

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Directions to “GAINESVILLE VAMC ” Practice Location

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