| NAME |
DAYTONA BEACH VA CLINIC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
1776 N WILLIAMSON BLVD |
| CITY |
DAYTONA BEACH |
| ZIP |
32117-5250 |
| OFFICIAL VA NAME |
DAYTONA BEACH VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
DAYTONA BEACH VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2009-10-01 00:00:00
- STATUS: ACTIVE
- NPI: 1497088454
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
675GB |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 551 NATIONAL HEALTHCARE DR
- CITY (CHANGED FROM): DAYTONA BEACH
- STATE (CHANGED FROM): FLORIDA
- ZIP (CHANGED FROM): 32114-1495
|
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 675GB
|
