Organization
MALCOM RANDALL VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MIRIAM MACHADO-RODRIGUEZ RN-BSN (NURSE-BSN)
(352) 376-1611
Entity
Organization
Contact information
Practice address
1601 S.W ARCHER ROAD, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 374-6113
Mailing address
3800 S.W 34TH STREET, APT. GG-334, GAINESVILLE, FL 32608
(352) 367-4351
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
024871
PR
282NC0060X
Critical Access Hospital
Primary
828464
FL
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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