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Organization

OVAMC

Active
Parent organization
OVAMC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OVAMC
Authorized official
MR. MICHAEL ERVIN LCSW (SOCIAL WORKER)
(407) 631-4573
Entity
Organization

Contact information

Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-4573
Mailing address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-4573

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW13482
FL
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
09/02/2017
Last updated
07/21/2022
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