PORT ORANGE VA CLINIC (4043) INSTITUTION (4)

Name	Value
NAME	PORT ORANGE VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	3731 SOUTH CLYDE MORRIS BLVD
CITY	PORT ORANGE
ZIP	32129-2319
OFFICIAL VA NAME	PORT ORANGE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: ORLANDO VAMC
BILLING FACILITY NAME	PORT ORANGE VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1609264738
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	675QB