Organization
VETERANS ADMINISTRATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA ANN STILES (REGISTERED NURSE)
(352) 376-1611
Entity
Organization
Contact information
Practice address
1128 NE 21 AVE, GAINESVILLE, FL 32609
(352) 271-3562
Mailing address
1128 NE 21ST AVE, GAINESVILLE, FL 32609-3848
(352) 271-3562
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
RN9285969
FL
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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