Organization
MALCOM RANDALL VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA CAREEN CHAIREZ (PT RESIDENT)
(682) 234-2056
Entity
Organization
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 379-4127
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 379-4127
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1259466
TX
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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