Organization
ORLANDO VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY W LIEZERT (MEDICAL CENTER DIRECTOR)
42263714000
Entity
Organization
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(422) 637-1600
Mailing address
6090 HONEYWOOD WAY, LAKE WORTH, FL 33463-6715
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
PS53630
FL
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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