Provider Demographics
NPI:1073792263
Name:JAMES A. HALEY VETRAN'S HOSPITAL
Entity Type:Organization
Organization Name:JAMES A. HALEY VETRAN'S HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PULMONARY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WOJKIEWIEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:813-972-2000
Mailing Address - Street 1:8717 ELMWOOD LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4415
Mailing Address - Country:US
Mailing Address - Phone:813-249-4946
Mailing Address - Fax:
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:813-979-3606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT32202865M2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital