| NAME |
ZZ-DAYTONA BEACH OPC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
551 National Healthcare Drive |
| CITY |
DAYTONA BEACH |
| ZIP |
32114-1495 |
| OFFICIAL VA NAME |
DAYTONA BEACH OPC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
DAYTONA BEACH VA CBOC |
| ST. ADDR. 1 (MAILING) |
551 National Healthcare Drive |
| CITY (MAILING) |
DAYTONA BEACH |
| STATE (MAILING) |
FLORIDA |
| ZIP (MAILING) |
32114-1495 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1851345888
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
573BZ |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1851345888
-
- CODING SYSTEM: VASTANUM
- ID: 573BZ
-
- CODING SYSTEM: CLIA
- ID: 10D0987719
|
