Physician Management Services Of Florida LLC
Family Medicine in Orlando, FL. Organization (NPI-2).
NPI number1679883151
StatusActive
Last updated in NPPESSep 20, 2013
Details
- NPI
- 1679883151
- Entity type
- Organization (NPI-2)
- Legal business name
- Physician Management Services Of Florida LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 18, 2010
- Last updated
- Sep 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Vaxcare Florida LLC (Former Legal Business Name)
Practice location
400 Gatlin AveOrlando, FL 32806-6940
Phone 888-829-8550 · Fax 888-843-7191
Mailing address
400 Gatlin AveOrlando, FL 32806-6940
Phone 888-829-8550 · Fax 888-843-7191
Authorized official
Casey Deloach
President
8888298550
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