Florida Department of Veterans Affairs
NPI #1629060272 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1629060272
- Entity Type
- Organization
- Organization Name
- Florida Department of Veterans Affairs
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Aug 19, 2005
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 21281 GRAYTON TER
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33954-3109
- Phone
- (941) 613-0919
Authorized Official
- Name
- MR. WILLIAM G PUCKETT
- Title
- PROGRAM DIRECTOR
- Phone
- (727) 518-3202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Alzheimer Center (Dementia Center) |
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