Organization
MALCOLM RANDAL VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE D'ANNE BENJAMIN R.N. (STAFF NURSE)
(352) 281-6967
Entity
Organization
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN9219832
FL
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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