| Department Of Veterans Affairs | |
|
2900 Veterans Way Melbourne FL 32940-8007 | |
| (321) 637-3646 | |
| Not Available |
| Full Name | Department Of Veterans Affairs |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2900 Veterans Way, Melbourne, Florida |
| Authorized Official Name and Position | Lisa Gorman (LEAD DENTIST) |
| Authorized Official Contact | 3216373646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veterans Affairs 2900 Veterans Way Melbourne FL 32940-8007 Ph: () - | Department Of Veterans Affairs 2900 Veterans Way Melbourne FL 32940-8007 Ph: (321) 637-3646 |
| NPI Number | 1376736967 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376736967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DH 17979 (Florida) | Primary |
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