Organization
DEPT OF VETERAN AFFAIRS
Active
Organization
DEPT OF VETERAN AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND STEPNOWSKI (MEDICAL DIRECTOR)
(954) 771-2101
Entity
Organization
Contact information
Practice address
5599 N DIXIE HWY, OAKLAND PARK, FL 33334-3406
(954) 229-7646
Mailing address
11051 SW 1ST CT, CORAL SPRINGS, FL 33071-8131
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
PT 7809
FL
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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