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PHYSICIAN MANAGEMENT SERVICES OF FLORIDA LLC NPI 1679883151


NPI Information

NPI: 1679883151
Provider Name: PHYSICIAN MANAGEMENT SERVICES OF FLORIDA LLC

Former Legal Business Name: VAXCARE FLORIDA LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
400 GATLIN AVE
ORLANDO, FL
ZIP 32806
Phone: (888) 829-8550
Get Directions

PHYSICIAN MANAGEMENT SERVICES OF FLORIDA LLC is a family medicine in Orlando, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHYSICIAN MANAGEMENT SERVICES OF FLORIDA LLC NPI is 1679883151. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Vaxcare Florida Llc.

The provider's business location address is:

400 GATLIN AVE
ORLANDO, FL
ZIP 32806-940
Phone: (888) 829-8550
Fax: (888) 843-7191

The provider's authorized official is Casey Deloach .
The authorized official title is President and has the following contact phone number (888) 829-8550.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 9/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHC059OTHERMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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