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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 : 1790183952
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 : 6938 MEDICAL VIEW LN BLDG 7
Second Line : SUITE 7
City : ZEPHYRHILLS
State : FL
Zip : 33542-6602
Country : US
Telephone Number : 866-793-4591
Fax Number :
Authorized Official
Title or Position : NPI TEAM
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 12/19/2014
Last Update Date : 03/28/2023

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