| NAME |
HOLLYWOOD VA CLINIC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
3702 WASHINGTON ST. STE 201 |
| CITY |
HOLLYWOOD |
| ZIP |
33021-8282 |
| OFFICIAL VA NAME |
HOLLYWOOD VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HOLLYWOOD VA CBOC |
| ST. ADDR. 1 (MAILING) |
3702 WASHINGTON ST, STE 201 |
| CITY (MAILING) |
HOLLYWOOD |
| STATE (MAILING) |
FLORIDA |
| ZIP (MAILING) |
33021-8282 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1003861071
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
546GF |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1003861071
-
- CODING SYSTEM: VASTANUM
- ID: 546GF
|
