ORLANDO 2 VA MOBILE CLINIC (4047)    INSTITUTION (4)

Name Value
NAME ORLANDO 2 VA MOBILE CLINIC
STATE FLORIDA
STREET ADDR. 1 13800 VETERANS WAY
CITY ORLANDO
ZIP 32827-7401
OFFICIAL VA NAME ORLANDO 2 VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ORLANDO 3 VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2021-10-15 00:00:00
    STATUS:   ACTIVE
    NPI:   1215684311
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 675QH
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   13800 VETERANS WAY
    CITY (CHANGED FROM):   ORLANDO
    STATE (CHANGED FROM):   FLORIDA
    ZIP (CHANGED FROM):   32827-7401