| Vaxcare | |
|
3113 Lawton Rd Suite 250 Orlando FL 32803-3531 | |
| (888) 829-8550 | |
| (855) 418-9149 |
| Full Name | Vaxcare |
|---|---|
| Speciality | Family Medicine |
| Location | 3113 Lawton Rd, Orlando, Florida |
| Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaxcare 3113 Lawton Rd Suite 250 Orlando FL 32803-3531 Ph: (888) 829-8550 | Vaxcare 3113 Lawton Rd Suite 250 Orlando FL 32803-3531 Ph: (888) 829-8550 |
| NPI Number | 1316058217 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 10/01/2020 |
| Medicare PECOS PAC ID | 2567563422 |
|---|---|
| Medicare Enrollment ID | O20070831000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316058217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
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