ORLANDO VAMC (NPI# 1043605900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043605900 |
| Entity Type | Organization |
| Organization Name | ORLANDO VAMC |
| Other Organization Name | ORLANDO 2 VA MOBILE CLINIC |
| Practice Address |
5201 Raymond St Orlando FL 32803-8208 |
| Mailing Address |
Po Box 140815 Orlando FL 32814-0815 |
| Practice Telephone | 8882631889 |
| Mailing Telephone | 8882631889 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2017-02-14 |
| 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 |
|---|---|
| ORLANDO 2 VA MOBILE CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
| 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 |
| 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 |
5201 RAYMOND ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862517 | Janice Yvonne Walker | Nurse Practitioner | 5201 Raymond St, Teal Team, Orlando, FL 32803-8208 | 2005-06-23 |
| 1861006520 | Shantaye Stephens | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-09-01 |
| 1417565490 | Cory Dale Kline | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-07-16 |
| 1962010058 | Kathleen Morgan Daly | Physical Therapist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-07-15 |
| 1881259190 | Charlene Thome | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2019-05-02 |
| 1518459932 | Ashley Newton | Audiologist | 5201 Raymond St, Orlando, FL 32803-8208 | 2018-06-01 |
| 1306344361 | Morgan Paige Wright Rauscher | Counselor | 5201 Raymond St, Orlando, FL 32803-8208 | 2018-01-24 |
| 1982112975 | Johnny Hadnot | Technician/Technologist | 5201 Raymond St, Orlando, FL 32803 | 2018-01-12 |
| 1548774888 | John Blasi IIi | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2017-11-23 |
| 1083135156 | Carolina T Kirton | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467809939 | Department of Veterans Affairs | Clinic/Center | 13800 Veterans Way, Orlando, FL 32827-7403 | 2016-05-15 |
| 1972991016 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2014-12-23 |
| 1255616702 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2011-10-17 |
| 1689767899 | Richard Louis Gray | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2006-10-02 |
| 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 |
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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.