institution
Vaxonsite, Llc
Multi-Specialty Clinic/Center in Odessa, Florida
NPI 1982152054

Vaxonsite, Llc is a Multi-Specialty Clinic/Center based in Odessa, FL and is specialized in Multi-Specialty. Vaxonsite, Llc practices in Odessa, FL. The NPI Number for Vaxonsite, Llc is 1982152054 and holds a License No. HCC10745 (Florida).

The current practice location address for Vaxonsite, Llc is 1434 Jam Ln, Odessa, FL and can be reached out via phone at 727-489-4358 and via fax at 813-342-7934.

Location: 1434 Jam Ln, Odessa, FL, 33556-1051
institution
Provider Profile Details
NPI Number
1982152054
Provider Name
Vaxonsite, Llc
Credential
Provider Entity Type
Organization
Address
1434 Jam Ln, Odessa, FL, 33556-1051
Phone Number
727-489-4358
Fax Number
813-342-7934
Provider Enumeration Date
09/16/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
HCC10745 01 FL AHCA - HEALTH CARE CLINIC LICENSE # HCC10745
institution
Provider Business Practice Location Address Details
Address
1434 Jam Ln
City
State
Zip
33556-3704
Phone Number
727-489-4358
Fax Number
813-342-7934
person
Provider Business Mailing Address Details
Address
1434 Jam Ln
City
State
Zip
33556-3704
Phone Number
727-489-4358
Fax Number
813-342-7934
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
HCC10745 (Florida)
Definition
Definition to come...
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