Organization · Type 2 NPI
Malcolm Randall Vamc
Clinic/Center · Gainesville, FL
NPI number
1972767333
Active
Practice location
5415 SW 64th Street
Gainesville, FL 32608-2116
Mailing address
2601 SW 69th Ter
Gainesville, FL 32608-2116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 1187232 (FL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1972767333
Malcolm Randall Vamc's National Provider Identifier is 1972767333, issued on Jul 15, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gainesville, FL. The record was last updated on Jul 15, 2008.