BAY PINES VAMC


Address: 4161 Tamiami Trl, Unit 401, Port Charlotte, FL 33952-9204
Phone: 8882631889

BAY PINES VAMC (NPI# 1649219031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649219031
Entity Type Organization
Organization Name BAY PINES VAMC
Other Organization Name PORT CHARLOTTE VA CBOC
Practice Address 4161 Tamiami Trl
Unit 401
Port Charlotte
FL 33952-9204
Mailing Address Po Box 140774
Orlando
FL 32814-0774
Practice Telephone 8882631889
Mailing Telephone 8882631889
Enumeration Date 2006-06-04
Last Update Date 2017-02-16
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Port Charlotte VA CBOC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639117294 Bay Pines Vamc Clinic/Center 800 Goodlette Rd N Ste 120, Naples, FL 34102-5402 2006-06-03
1073560603 Bay Pines Vamc Clinic/Center 5520 E State Road 64, Suite 101, Bradenton, FL 34208-5526 2006-05-28
1245282334 Bay Pines Vamc Clinic/Center 35209 Us Highway 19 N, Palm Harbor, FL 34684-1908 2006-05-17
1427009604 Bay Pines Vamc Clinic/Center 5901 Us Highway 27 S, Sebring, FL 33870-2117 2006-05-13
1801835764 Bay Pines Vamc Clinic/Center 840 Dr Martin Luther King Jr St N, St Petersburg, FL 33705-1214 2006-06-06
1134167737 Bay Pines Vamc Clinic/Center 5682 Bee Ridge Rd, Suite 100, Sarasota, FL 34233-1500 2006-06-03
1710933452 Bay Pines Vamc Clinic/Center 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 2006-05-25
1881643609 Bay Pines Vamc General Acute Care Hospital 10000 Bay Pines Blvd, Bay Pines, FL 33744-8700 2006-05-09
1376591396 Bay Pines Vamc Department of Veterans Affairs (VA) Pharmacy 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 2006-05-04
1003874942 Bay Pines Vamc Department of Veterans Affairs (VA) Pharmacy 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 2006-05-02

Office Location

Street Address 4161 TAMIAMI TRL
UNIT 401
City PORT CHARLOTTE
State FL
Zip Code 33952-9204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861480790 William Lane Edwards Jr. Nurse Practitioner 4161 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-9204 2005-10-13
1194332478 Ashley M Pospisil Dietitian, Registered 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 2020-09-30
1376098418 Brittany Diltz Clinic/Center 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 2016-08-18
1386041887 Golden Touch Physical Therapy, Inc Clinic/Center 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 2014-11-26
1396164257 Tracy M Mullins Physical Therapy Assistant 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 2014-04-08
1689000325 John Thomas Connelly Occupational Therapist 4161 Tamiami Trl, Ste 103, Port Charlotte, FL 33952-9204 2013-09-25
1558701060 Andrea B. Dombrowski Social Worker 4161 Tamiami Trl, Suite 401, Port Charlotte, FL 33952-9204 2013-06-28
1770929978 Jovanni H Villadarez Physical Therapist 4161 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-9204 2013-05-14
1851736995 Mark Niles Perkins Physical Therapy Assistant 4161 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-9204 2013-05-02
1609127380 Megan C Francis Physical Therapist 4161 Tamiami Trl, Ste 103, Port Charlotte, FL 33952-9204 2012-09-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700486552 Arrow Medical LLC Durable Medical Equipment & Medical Supplies 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 2020-10-30
1376009621 David Alan Mowry Massage Therapist 3148 Whiting Lane, Port Charlotte, FL 33952 2019-02-12
1124527189 Aegis Group Practice, LLC Physical Therapist 2500 Aaron Street, Port Charlotte, FL 33952 2018-02-06
1255856118 All Powered Mobility, LLC Durable Medical Equipment & Medical Supplies 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 2017-08-11
1366994915 Julianne Kumar Physical Medicine & Rehabilitation 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 2016-10-31
1659729549 The Gathering Place LLC Licensed Practical Nurse 3459 Depew Ave, Port Charlotte, FL 33952 2016-06-01
1003222183 Philip Lagamma Physical Therapist 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 2014-07-09
1184039695 Nathan E Shipley Driver 2338 Alton Rd., Port Charlotte, FL 33952 2014-06-23
1619318219 Nic 4 Royal Palm Leasing LLC Assisted Living Facility 2500 Aaron St., Port Charlotte, FL 33952 2013-07-11
1225306475 Tamjo Inc Hearing Instrument Specialist 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 2011-12-02
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528681723 Gainesville Vamc Clinic/Center 400 College Dr Ste 200, Middleburg, FL 32068-8525 2020-05-21
1831719715 Orlando Vamc Clinic/Center 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 2020-04-21
1851955405 Tampa Vamc Clinic/Center 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 2019-04-30
1316331952 James A.haley Va Hospital Clinic/Center 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 2015-03-20
1326436601 Biloxi Vamc Clinic/Center 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 2015-01-08
1255729505 Tampa Vamc Clinic/Center 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 2015-01-08
1609264738 Orlando Vamc Clinic/Center 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 2014-12-23
1902204167 Tampa Vamc Clinic/Center 7701 Little Rd, New Port Richey, FL 34654-5403 2014-12-19
1386042620 West Palm Beach Vamc Clinic/Center 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 2014-12-19
1629476965 Tampa Vamc Clinic/Center 14014 North 46th Street, Tampa, FL 33613-9998 2014-12-19
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Competitor

Search similar providers

City PORT CHARLOTTE
Zip Code 33952

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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