Organization · Type 2 NPI
Vaxonsite, LLC
Multi-Specialty Clinic/Center · Odessa, FL
NPI number
1982152054
Active
Practice location
1434 Jam Ln
Odessa, FL 33556-3704
Fax (813) 342-7934
Mailing address
PO Box 1166
Odessa, FL 33556-1051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | HCC10745 (FL) |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1982152054
Vaxonsite, LLC's National Provider Identifier is 1982152054, issued on Sep 16, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Odessa, FL. The record was last updated on Sep 16, 2016.