| NAME |
ZZ-VIERA OPC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
2900 VETERANS WAY |
| CITY |
VIERA |
| ZIP |
32940 |
| OFFICIAL VA NAME |
VIERA OUTPATIENT CLINIC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
VIERA VA CBOC |
| ST. ADDR. 1 (MAILING) |
2900 VETERANS WAY |
| CITY (MAILING) |
VIERA |
| STATE (MAILING) |
FLORIDA |
| ZIP (MAILING) |
32940 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1659315125
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
673GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1659315125
-
- CODING SYSTEM: VASTANUM
- ID: 673GA
-
- CODING SYSTEM: CLIA
- ID: 10D0987727
|
