Florida Department of Veterans Affairs
Florida Department of Veterans Affairs is an Alzheimer Center (Dementia Center) in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2005.
- Licensed in
- FL
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
21281 Grayton TerPort Charlotte, FL 33954-3109
Phone: (941) 613-0919
Fax: (941) 613-0935
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Alzheimer Center (Dementia Center) (primary) | Taxonomy 311500000X · Licence SNF130471029 (FL) |
|---|---|
| Skilled Nursing Facility | Taxonomy 314000000X · Licence SNF130471029 (FL) |
Record details
| NPI number | 1629060272 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Puckett — Program Director · (727) 518-3202 |
| Other names | Douglas Jacobson State Veterans Nursing Home; Douglas T. Jacobson State Veterans Nursing Home |
| NPI enumerated | August 19, 2005 |
| Last updated in NPPES | July 8, 2026 |
| Certification date | July 8, 2026 |
| Mailing address | 21281 Grayton Ter, Port Charlotte, FL 33954-3109 |
Clinicians affiliated with this facility
- Dr. Keith Anthony Williams, MD Pain Medicine (Physical Medicine & Rehabilitation) Physician · Port Charlotte, FL