Organization · Type 2 NPI

Department of Veterans Affairs

Health Service Clinic/Center · Fort Myers, FL

NPI number 1104079821 Active

Practice location

2727 Winkler Ave
Fort Myers, FL 33901-9358

Mailing address

3704 SE 18th Ave
Cape Coral, FL 33904-5075

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100X28080 (FL)
Mammography Clinic/Center 261QR0206X168043 (FL)

Health Service Clinic/Center: Definition to come...

8 other providers at this address

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About NPI 1104079821

Department of Veterans Affairs's National Provider Identifier is 1104079821, issued on Oct 25, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 25, 2008.