Provider Demographics
NPI:1235678988
Name:VFL MEDICAL
Entity Type:Organization
Organization Name:VFL MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:O'BRIEN-GAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:828-230-7471
Mailing Address - Street 1:PO BOX 269
Mailing Address - Street 2:
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-0269
Mailing Address - Country:US
Mailing Address - Phone:828-230-7471
Mailing Address - Fax:
Practice Address - Street 1:92-8691 LOTUS BLOSSOM LANE
Practice Address - Street 2:6&7
Practice Address - City:OCEAN VIEW
Practice Address - State:HI
Practice Address - Zip Code:96737
Practice Address - Country:US
Practice Address - Phone:828-230-7471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-2219261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care