| NPI | 1609264738 |
|---|---|
| Other Name | PORT ORANGE VA OOS |
| Entity Type | Organization |
| Authorized Contact | ERIN POTTER Npi Team 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2023-03-28 |