LECANTO VA CLINIC (TAMPA) (4503) INSTITUTION (4)

Name	Value
NAME	LECANTO VA CLINIC (TAMPA)
STATE	FLORIDA
STREET ADDR. 1	2804 W. MARC KNIGHTON COURT, SUITE A
CITY	LECANTO
ZIP	34461-6301
OFFICIAL VA NAME	LECANTO VA CLINIC (TAMPA)
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: TAMPA FL VAMC
BILLING FACILITY NAME	LECANTO VA CLINIC
EFFECTIVE DATE/TIME	2019-05-02 00:00:00 STATUS: ACTIVE NPI: 1669031126
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	673GH