NAME |
STUART VA CLINIC |
STATE |
FLORIDA |
STREET ADDR. 1 |
3501 S E WILLOUGHBY BLVD |
CITY |
STUART |
ZIP |
34997-5059 |
OFFICIAL VA NAME |
STUART VA CLINIC |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
STUART VA CBOC |
ST. ADDR. 1 (MAILING) |
3501 S E WILLOUGHBY BLVD |
CITY (MAILING) |
STUART |
STATE (MAILING) |
FLORIDA |
ZIP (MAILING) |
34997-5059 |
EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1154360162
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
EASTERN |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
STATION NUMBER |
548GC |
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1154360162
-
- CODING SYSTEM: VASTANUM
- ID: 548GC
|