BAY PINES VA MOBILE CLINIC (4556)    INSTITUTION (4)

Name Value
NAME BAY PINES VA MOBILE CLINIC
STATE FLORIDA
STREET ADDR. 1 10000 BAY PINES BLVD
CITY BAY PINES
ZIP 33744-8200
OFFICIAL VA NAME BAY PINES VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BAY PINES VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2023-09-26 00:00:00
    STATUS:   ACTIVE
    NPI:   1538948898
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 516QA
HISTORY