Organization
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Active
Other names
Baldomero Lopez State Veterans Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G PUCKETT (PROGRAM DIRECTOR)
(727) 518-3202
Entity
Organization
Contact information
Practice address
6919 PARKWAY BLVD, LAND O LAKES, FL 34639-2909
(727) 518-3202
Mailing address
6919 PARKWAY BLVD, LAND O LAKES, FL 34639-2909
(813) 558-5000
(813) 558-5021
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
FL
314000000X
Skilled Nursing Facility
—
FL
Other
Enumeration date
08/19/2005
Last updated
01/22/2026
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