ORLANDO VAMC (NPI# 1609264738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609264738 |
| Entity Type | Organization |
| Organization Name | ORLANDO VAMC |
| Other Organization Name | PORT ORANGE VA OOS |
| Practice Address |
3731 S Clyde Morris Blvd Port Orange FL 32129-2319 |
| Mailing Address |
Po Box 140815 Orlando FL 32814-0815 |
| Practice Telephone | 8882631889 |
| Mailing Telephone | 8882631889 |
| Enumeration Date | 2014-12-23 |
| 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 |
|---|---|
| PORT ORANGE VA OOS | 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 |
| 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 |
| 1043605900 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2015-03-30 |
| 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 |
3731 S CLYDE MORRIS BLVD |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| 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 |
| 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 |
| 1548668791 | Tampa Vamc | Clinic/Center | 5138 Deer Park Boulevard, Suites 101 and 102, New Port Richey, FL 34653-7027 | 2014-12-19 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
Please comment or provide details below to improve the information on ORLANDO VAMC.
| 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.