DELTONA VA CLINIC (2490)    INSTITUTION (4)

Name Value
NAME DELTONA VA CLINIC
STATE FLORIDA
STREET ADDR. 1 1200 DELTONA BLVD, SUITE 41-47
CITY DELTONA
ZIP 32725-6306
OFFICIAL VA NAME DELTONA VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DELTONA VA CLINIC
EFFECTIVE DATE/TIME
  • 2009-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1922331982
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 675GD
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   675GD