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Florida Department Of Veterans Affairs

Florida Department Of Veterans Affairs is a health care provider in Port Charlotte, FL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 21281 Grayton Ter, Port Charlotte, FL 33954-3109, US
Practice Location Phone941-613-0919
Practice Location Fax941-613-0935
Legal Business NameFLORIDA DEPARTMENT OF VETERANS AFFAIRS
Other Organization NameDOUGLAS JACOBSON STATE VETERANS NURSING HOME
Other Organization Name TypeDoing Business As Name
NPI ?1629060272
Entity TypeOrganization
Enumeration Date ? Aug 19, 2005
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Florida Department Of Veterans Affairs

SpecialtySpecializationLicenseLicense State
Alzheimer Center (Dementia Center) Florida
Skilled Nursing Facility Florida

legacy-id-icon Legacy Provider IDs of Florida Department Of Veterans Affairs

Provider IdIssuer StateIssuer TypeIssuer
M4JFloridaOtherBCBS

official-icon Authorized Official of Florida Department Of Veterans Affairs

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Florida Department Of Veterans Affairs's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. William G Puckett
Authorized Official Title/PositionPROGRAM DIRECTOR
Authorized Official Phone Number727-518-3202