| NAME |
CORAL SPRINGS CBOC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
9900 WEST SAMPLE ROAD, STE 100 |
| CITY |
CORAL SPRINGS |
| ZIP |
33065-4048 |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CORAL SPRINGS VA CBOC |
| ST. ADDR. 1 (MAILING) |
9900 WEST SAMPLE ROAD, SUITE 100 |
| CITY (MAILING) |
CORAL SPRINGS |
| STATE (MAILING) |
FLORIDA |
| ZIP (MAILING) |
33065-4048 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1043262033
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
546GG |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1043262033
-
- CODING SYSTEM: VASTANUM
- ID: 546GG
|
