Organization
BAY PINES VA HEALTH CARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L. WARE CCAC (SOCIAL SCIENCE PROGRAM SPECIALIST)
(727) 398-6661
Entity
Organization
Contact information
Practice address
1000 BAY PINES BLVD DOM C184, ST PETERSBURG, FL 33744
(727) 398-6661
(727) 398-9509
Mailing address
1000 BAY PINES BLVD DOM C184, ST PETERSBURG, FL 33744
(727) 398-6661
(727) 398-9509
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1307
IL
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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