| Department Of Veterans Affair | |
|
656 Sw Sandbar Ter Port Saint Lucie FL 34953-1951 | |
| (772) 475-1248 | |
| Not Available |
| Full Name | Department Of Veterans Affair |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 656 Sw Sandbar Ter, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Alfaridys Rodriguez (SOCIAL WORKER) |
| Authorized Official Contact | 7724751248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veterans Affair 656 Sw Sandbar Ter Port Saint Lucie FL 34953-1951 Ph: (772) 475-1248 | Department Of Veterans Affair 656 Sw Sandbar Ter Port Saint Lucie FL 34953-1951 Ph: (772) 475-1248 |
| NPI Number | 1588903850 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 02/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588903850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | SW 9212 (Florida) | Primary |
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