Organization
CARL R. DARNELL ARMY MEDIAL CENTER
Active
Parent organization
U.S. ARMY
Other names
U.S. Army
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. ARMY
Authorized official
MR. PAUL AUSTIN DAC (CREDENTIALS MANAGER)
(254) 286-7323
Entity
Organization
Contact information
Practice address
2623 QUEEN ALBERTA DR, VALRICO, FL 33596-6527
(813) 315-8162
Mailing address
2623 QUEEN ALBERTA DR, VALRICO, FL 33596-6527
(813) 315-8162
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
ARNP9226566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9226566
ARNP
FL
Enumeration date
09/22/2012
Last updated
09/22/2012
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