TAVARES VA CLINIC (4039) INSTITUTION (4)

Name	Value
NAME	TAVARES VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	1390 EAST BURLEIGH BLVD
CITY	TAVARES
ZIP	32778-4305
OFFICIAL VA NAME	TAVARES VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: ORLANDO VAMC
BILLING FACILITY NAME	TAVARES VA CLINIC
EFFECTIVE DATE/TIME	2009-10-01 00:00:00 STATUS: ACTIVE NPI: 1215160700
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	675GE