# U.S. DEPARTMENT OF VETERANS AFFAIRS ORLANDO VA HEALTHCARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orlando VA Healthcare center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932140126
- **Authorized official:** MR. DORNELL MISTER (SOCIAL WORK)
- **Authorized official phone:** (407) 599-1472

## Contact information

- **Practice address:** 5201 RAYMOND ST, ORLANDO, FL 32803-8208
- **Practice address phone:** (407) 599-1472
- **Practice address fax:** (407) 599-1472
- **Mailing address:** 2001 GLENRIDGE WAY, APARTMENT \#48, WINTER PARK, FL 32792
- **Mailing address phone:** (407) 629-6360
- **Mailing address fax:** (407) 599-1472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 2-00571 | MI | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/22/2020