| NAME |
LEE COUNTY VA CLINIC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
2489 DIPLOMAT PARKWAY EAST |
| CITY |
CAPE CORAL |
| ZIP |
33909-5422 |
| OFFICIAL VA NAME |
LEE COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CAPE CORAL VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1710933452
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
516BZ |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1710933452
-
- CODING SYSTEM: VASTANUM
- ID: 516BZ
-
- CODING SYSTEM: CLIA
- ID: 10D0987468
|
