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MIAMI VAMC NPI 1134168529


NPI Information

NPI: 1134168529
Provider Name: MIAMI VAMC

Other Name: PEMBROKE PINES VA CBOC

Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

CLIA Number: 10D1001686

Address:
7369 SHERIDAN ST
SUITE 102
HOLLYWOOD, FL
ZIP 33024
Phone: (866) 793-4591
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MIAMI VAMC is a va clinic center in Hollywood, FL. MIAMI VAMC NPI is 1134168529. The provider is registered as an organization entity type.
The provider Other Name Is Pembroke Pines Va Cboc.

The provider's business location address is:

7369 SHERIDAN ST
SUITE 102
HOLLYWOOD, FL
ZIP 33024-776
Phone: (866) 793-4591

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team Member and has the following contact phone number (202) 382-2579.

The CLIA number assigned to this NPI record is 10D1001686 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 3/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QV0200XClinic/CenterVAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.