DEER PARK VA CLINIC (4020)    INSTITUTION (4)

Name Value
NAME DEER PARK VA CLINIC
STATE FLORIDA
STREET ADDR. 1 5138 DEER PARK BLVD, SUITE #101 AND #102
CITY NEW PORT RICHEY
ZIP 34653-7027
OFFICIAL VA NAME DEER PARK VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DEER PARK VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1548668791
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 673QD