Gainesville Vamc

Specialty details in registry · Lake City, FL

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At a glance

484 Sw Commerce Dr, Lake City, FL 32025-1507

NPPES record updated Mar 28, 2023. Public records can lag behind changes at a practice.

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Practice location

484 Sw Commerce Dr
Lake City, FL 32025-1507

Professional details: NPI, taxonomy & registry record

NPI1437627015

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QV0200X
Enumeration date: Nov 13, 2018
Record updated: Mar 28, 2023

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QV0200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

484 Sw Commerce Dr
Lake City, FL 32025-1507

Phone: (866) 793-4591

Mailing address

PO BOX 94468

CLEVELAND, OH 441014468

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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