ORLANDO VAMC (NPI# 1831719715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831719715 |
| Entity Type | Organization |
| Organization Name | ORLANDO VAMC |
| Practice Address |
5200 Babcock St Ne Ste 101 Palm Bay FL 32905-4639 |
| Mailing Address |
Po Box 140815 Orlando FL 32814-0815 |
| Practice Telephone | 4076224225 |
| Mailing Telephone | 4076224225 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM LEAD) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PALM BAY VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| 1295195501 | Orlando Vamc | Psychiatric Residential Treatment Facility | 13800 Veterans Way, Orlando, FL 32827-7403 | 2016-02-29 |
| 1043605900 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2015-03-30 |
| 1407244775 | Orlando Vamc | Clinic/Center | 925 S Semoran Blvd, Suites 112, 114 and 120, Winter Park, FL 32792-5313 | 2015-01-08 |
| 1972991016 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2014-12-23 |
| 1245628387 | Orlando Vamc | Clinic/Center | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2014-12-23 |
| 1558796409 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 5201 Raymond St, Orlando, FL 32803-8208 | 2013-09-11 |
| 1255616702 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2011-10-17 |
| 1063747111 | Orlando Vamc | Clinic/Center | 805 Oakley Seaver Dr, Clermont, FL 34711-1968 | 2009-10-07 |
| Street Address |
5200 BABCOCK ST NE STE 101 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-4639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 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 |
| 1548668791 | Tampa Vamc | Clinic/Center | 5138 Deer Park Boulevard, Suites 101 and 102, New Port Richey, FL 34653-7027 | 2014-12-19 |
| Find all providers with the same taxonomy | ||||
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| 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.