James a Haley Va

NPI #1407866098 in Tampa, Florida

Provider Information

NPI Number
1407866098
Entity Type
Organization
Organization Name
James a Haley Va
Primary Specialty
Military Hospital
Enumeration Date
Aug 8, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
13000 BRUCE B DOWNS BLVD
City
Tampa
State
Florida
ZIP Code
33612-4745
Phone
(813) 972-2000

Authorized Official

Name
CHERYL LYNN LIEDTKE, PA-C
Title
PHYSICIAN ASSISTANT
Phone
(813) 972-2000

Specialties & Taxonomy Codes

Specialty
Military Hospital

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