PORT SAINT LUCIE VA CLINIC (3550) INSTITUTION (4)

Name	Value
NAME	PORT SAINT LUCIE VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	126 SOUTHWEST CHAMBER COURT
CITY	PORT SAINT LUCIE
ZIP	34986-3496
OFFICIAL VA NAME	PORT SAINT LUCIE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: WEST PALM BEACH VAMC
BILLING FACILITY NAME	PORT SAINT LUCIE VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1386042620
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	548QA