LAKE BALDWIN VA CLINIC (4041) INSTITUTION (4)

Name	Value
NAME	LAKE BALDWIN VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	5201 RAYMOND ST
CITY	ORLANDO
ZIP	32803-8208
OFFICIAL VA NAME	LAKE BALDWIN VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: ORLANDO VAMC
BILLING FACILITY NAME	ORLANDO VA CLINIC
EFFECTIVE DATE/TIME	2011-10-01 00:00:00 STATUS: ACTIVE NPI: 1255616702
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE Hospitals PRIMARY CODE: YES STATUS: INACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	675GG
IDENTIFIER	CODING SYSTEM: CLIA ID: 10D2104459