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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
1261QV0200XVA Clinic/Center

General Provider Information

NPI Number : 1902830508
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAINESVILLE VAMC
Provider Business Mailing Address
First Line : PO BOX 94468
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4468
Country : US
Telephone Number : 866-793-4591
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 : 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 : 07/10/2006
Last Update Date : 03/28/2023

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Directions to “GAINESVILLE VAMC ” Practice Location

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