TAMPA VA CLINIC (4022)    INSTITUTION (4)

Name Value
NAME TAMPA VA CLINIC
STATE FLORIDA
STREET ADDR. 1 14517 BRUCE B DOWNS BLVD
CITY TAMPA
ZIP 33613-2755
OFFICIAL VA NAME WINNERS CIRCLE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TAMPA VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1467850628
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 673QF