Organization
TAMPA VAMC
Active
Other names
LECANTO VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2804 W MARC KNIGHTON CT STE A, LECANTO, FL 34461-6301
(866) 793-4591
Mailing address
PO BOX 94470, CLEVELAND, OH 44101-4470
(866) 793-4591
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
03/28/2023
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