Organization
VAMC
Active
Organization
VAMC
Active
Other names
Dept Of Veteran Affairs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE L PHILLIPS CRT.,PSGT (SLEEP TECH)
(909) 730-6365
Entity
Organization
Contact information
Practice address
170 CASTLE DR, GAINESVILLE, FL 32607-1789
(352) 376-1611
Mailing address
170 CASTLE DR, GAINESVILLE, FL 32607-1789
Taxonomy
Speciality
Code
Description
License number
State
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
Primary
22
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
22
FL
Enumeration date
10/07/2006
Last updated
07/21/2022
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