Gainesville Vamc
Organization Active NPI VA Clinic/Center · Saint Augustine, FL
NPI 1922041003 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1922041003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- GAINESVILLE VAMC
- Practice address
- 100 Deerfield Preserve Blvd
Saint Augustine, FL 32086-5966 - Phone
- (866) 793-4591
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Corporate family (same tax ID) 33
National Provider Directory
- Tax ID family
- Gainesville Vamc
Locations
195 Southpark Blvd
St Augustine, FL 32086
Phone (904) 823-2896
100 Deerfield Preserve Blvd
St Augustine, FL 32086
Phone (904) 823-2896
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
100 Deerfield Preserve Blvd
Saint Augustine, FL 32086-5966
Mailing address
PO Box 94468
Cleveland, OH 44101-4468
Phone (866) 793-4591
Other names
- SAINT AUGUSTINE VA CLINIC
Other providers in Saint Augustine, FL
- Ashley Fulton
- Angela Marie Fusco
- Eris Fusco
- G.L. Miller Anesthesia LLC
- Glenn Randolph Gaffney
- Gabriel P. Galan
- Nolan A Gall
- Stephen R Gallegos
- Sara A Galloway
- Kendal Tiffany Galura
All providers in Saint Augustine, FL · VA Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.