| NAME |
CLERMONT CBOC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
3200 CITRUS TOWER BLVD |
| CITY |
CLERMONT |
| ZIP |
34711-7012 |
| OFFICIAL VA NAME |
CLERMONT CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CLERMONT VA CLINIC |
| ST. ADDR. 1 (MAILING) |
805 OAKLEY SEAVER DR |
| CITY (MAILING) |
CLERMONT |
| STATE (MAILING) |
FLORIDA |
| ZIP (MAILING) |
34711-1968 |
| EFFECTIVE DATE/TIME |
-
- 2009-11-01 00:00:00
- STATUS: ACTIVE
- NPI: 1063747111
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
675GF |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 10D1107475
|
