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.
|Practice Location||21281 Grayton Ter, Port Charlotte, FL 33954-3109, US|
|Practice Location Phone||941-613-0919|
|Practice Location Fax||941-613-0935|
|Legal Business Name||FLORIDA DEPARTMENT OF VETERANS AFFAIRS|
|Other Organization Name||DOUGLAS JACOBSON STATE VETERANS NURSING HOME|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Aug 19, 2005|
|Last Update Date ?||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Alzheimer Center (Dementia Center)||Nursing & Custodial Care Facilities||Florida|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities||Florida|
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||PROGRAM DIRECTOR|
|Authorized Official Phone Number||727-518-3202|