| NAME |
46TH STREET NORTH VA CLINIC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
14020 N 46TH ST |
| CITY |
TAMPA |
| ZIP |
33613-5778 |
| OFFICIAL VA NAME |
46TH STREET NORTH VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TAMPA 1 VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2014-10-01 00:00:00
- STATUS: ACTIVE
- NPI: 1629476965
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
673QA |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 14014 NORTH 46TH STREET
- CITY (CHANGED FROM): TAMPA
- STATE (CHANGED FROM): FLORIDA
- ZIP (CHANGED FROM): 33613-9998
|
