NPI 1003070608
Bay Pines VA Medical Center
Practice location
- Address
- 1920 Mason Ave, Daytona Beach, FL 32117-5103
- Phone
- (386) 274-3460
- Fax
- (386) 274-3487
- Mailing address
- 712 Derbyshire Rd, Daytona Beach, FL 32114-1606
Authorised official
- Name
- Paul V Larcka
- Title
- Acting Chief Pharmacist
- Phone
- (727) 398-6661
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1003070608
- Entity type
- Organization
- NPI issued
- 12 Jul 2008
- Record last updated
- 12 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.