Provider Demographics
NPI:1184793739
Name:MIAMI VA HEALTHCARE SYSTEM
Entity type:Organization
Organization Name:MIAMI VA HEALTHCARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL CHIEF OF STAFF
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-324-4455
Mailing Address - Street 1:6039 COLLINS AVE APT 1632
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2256
Mailing Address - Country:US
Mailing Address - Phone:305-861-7697
Mailing Address - Fax:
Practice Address - Street 1:6039 COLLINS AVE APT 1632
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2256
Practice Address - Country:US
Practice Address - Phone:305-861-7697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 96966282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital