| Malcolm Randall Vamc | |
|
5415 Sw 64th Street Gainesville FL 32608-2116 | |
| (352) 338-4900 | |
| Not Available |
| Full Name | Malcolm Randall Vamc |
|---|---|
| Speciality | Clinic/center |
| Location | 5415 Sw 64th Street, Gainesville, Florida |
| Authorized Official Name and Position | Karen Lee Morris (COMP AND PEN EXAMINER) |
| Authorized Official Contact | 3523384900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malcolm Randall Vamc 2601 Sw 69th Ter Gainesville FL 32608-2116 Ph: (352) 332-6494 | Malcolm Randall Vamc 5415 Sw 64th Street Gainesville FL 32608-2116 Ph: (352) 338-4900 |
| NPI Number | 1972767333 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972767333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1187232 (Florida) | Primary |
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