MIAMI VAMC (NPI# 1003861071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003861071 |
| Entity Type | Organization |
| Organization Name | MIAMI VAMC |
| Other Organization Name | HOLLYWOOD VA CBOC |
| Practice Address |
3702 Washington St Hollywood Pavilion, Suite 201 Hollywood FL 33021-8282 |
| Mailing Address |
Po Box 140793 Orlando FL 32814-0793 |
| Practice Telephone | 8882631889 |
| Mailing Telephone | 8882631889 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| 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 |
|---|---|
| Hollywood VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043258940 | Miami Vamc | Clinic/Center | 1492 W Flagler St, Suite 102, Miami, FL 33135-2209 | 2006-06-03 |
| 1073565875 | Miami Vamc | Clinic/Center | 2100 Sw 10th St, Deerfield Beach, FL 33442-7690 | 2006-05-17 |
| 1750557252 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2008-05-05 |
| 1134168529 | Miami Vamc | Clinic/Center | 7369 Sheridan St, Suite 102, Hollywood, FL 33024-2776 | 2006-06-04 |
| 1538106992 | Miami Vamc | Clinic/Center | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2006-06-02 |
| 1043266968 | Miami Vamc | Clinic/Center | 105662 Overseas Hwy, Key Largo, FL 33037-3010 | 2006-05-25 |
| 1588610406 | Miami Vamc | Clinic/Center | 1300 Douglas Cir, Key West, FL 33040-4536 | 2006-05-25 |
| 1366497737 | Miami Vamc | Clinic/Center | 950 N Krome Ave, Suite 401, Homestead, FL 33030-4400 | 2006-05-24 |
| 1467402263 | Miami Vamc | General Acute Care Hospital | 1201 Nw 16th St, Miami, FL 33125-1624 | 2006-05-11 |
| 1255389144 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 1201 Nw 16th St, Miami, FL 33125-1624 | 2006-05-04 |
| Street Address |
3702 WASHINGTON ST HOLLYWOOD PAVILION, SUITE 201 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-8282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740263441 | David A Krant | Orthopaedic Surgery | 3702 Washington St, Ste 101, Hollywood, FL 33021-8282 | 2005-11-28 |
| 1821540113 | Freddy Laguerre | Nurse Practitioner | 3702 Washington St, Hollywood, FL 33021-8282 | 2016-11-02 |
| 1134516974 | Cardiac & Veinworx LLC | Internal Medicine | 3702 Washington St, Suite 305, Hollywood, FL 33021-8282 | 2015-04-20 |
| 1932446655 | Central Palm Beach Physicians & Urgent Care Inc | Chiropractor | 3702 Washington St, Suite 202, Hollywood, FL 33021-8282 | 2013-01-15 |
| 1578868378 | Mayline Cordova | Physician Assistant | 3702 Washington St, Suite 303, Hollywood, FL 33021-8282 | 2011-01-26 |
| 1932438769 | Angelina V Cole | Physician Assistant | 3702 Washington St, Suite 303, Hollywood, FL 33021-8282 | 2009-12-07 |
| 1376775908 | Jason Sanders Md Pl LLC | Orthopaedic Surgery | 3702 Washington St, Suite 404, Hollywood, FL 33021-8282 | 2009-08-15 |
| 1558505149 | Johannes V. Blom, Md, Pa | Specialist | 3702 Washington St, Suite 202, Hollywood, FL 33021-8282 | 2009-04-27 |
| 1437390382 | Eric S Rosen | Internal Medicine | 3702 Washington St, Suite 303, Hollywood, FL 33021-8287 | 2009-03-23 |
| 1518153840 | Troy Erik Elmstrom | Physician Assistant | 3702 Washington St, Suite 403, Hollywood, FL 33021-8282 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134168529 | Miami Vamc | Clinic/Center | 7369 Sheridan St, Suite 102, Hollywood, FL 33024-2776 | 2006-06-04 |
| 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 |
| 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.