Organization
MALCOLM RANDALL VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN LEE MORRIS ARNP (COMP AND PEN EXAMINER)
(352) 338-4900
Entity
Organization
Contact information
Practice address
5415 SW 64TH STREET, GAINESVILLE, FL 32608-2116
(352) 338-4900
Mailing address
2601 SW 69TH TER, GAINESVILLE, FL 32608-2116
(352) 332-6494
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1187232
FL
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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