Organization Name: | MIAMI VAMC |
NPI Number: | 1043266968 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA DUNCAN (EBILLING PROJECT MANAGER) |
Mailing Address: | 105662 Overseas Hwy Key Largo |
State: | FL US |
Postal Code: | 330373010 |
Phone Number: | 4076224063 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QV0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | VA |
Taxonomy Definition: |