| NPI | 1679883151 |
|---|---|
| Former Legal Business Name | VAXCARE FLORIDA LLC |
| Entity Type | Organization |
| Authorized Contact | CASEY DELOACH President 888-829-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2013-09-20 |