Provider Demographics
NPI:1992529945
Name:VOLUNTEERS OF AMERICA OF FLORIDA, INC
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA OF FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:BURGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-416-2322
Mailing Address - Street 1:850 5TH AVE. SOUTH
Mailing Address - Street 2:SUITE #1100
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701
Mailing Address - Country:US
Mailing Address - Phone:727-369-8500
Mailing Address - Fax:
Practice Address - Street 1:2690 HIGHWAY 73
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32448-5443
Practice Address - Country:US
Practice Address - Phone:386-697-5354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health