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Organization

PHYSICIAN SERVICES OF FLORIDA LLC

Active
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Organization

PHYSICIAN SERVICES OF FLORIDA LLC

Active
Parent organization
VAXCARE CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
VAXCARE CORPORATION
Authorized official
MR. CASEY DELOACH (MANAGER)
(888) 829-8550
Entity
Organization

Contact information

Practice address
200 E MARKS ST, ORLANDO, FL 32803-3819
(407) 480-5986
Mailing address
800 N MAGNOLIA AVE STE 700, ORLANDO, FL 32803-3264
(407) 480-5986

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHC059
MEDICARE PTAN
—
Enumeration date
05/21/2015
Last updated
07/24/2026
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