Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E WILSON (LPN)
(727) 398-6661
Entity
Organization
Contact information
Practice address
10000 BAY PINES BOULAVARD, BAY PINES, FL 33744
(727) 398-6661
Mailing address
PO BOX 5005, BAY PINES, FL 33744-5005
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0002038939
FL
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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