Organization
BAY PINES VAMC
Active
Other names
Port Charlotte VA CBOC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
4161 TAMIAMI TRL, UNIT 401, PORT CHARLOTTE, FL 33952-9204
(866) 793-4591
Mailing address
PO BOX 94465, CLEVELAND, OH 44101-4465
(866) 793-4591
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
03/28/2023
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