# VAXONSITE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982152054
- **Authorized official:** MR. SEAN P CURTIN (PRESIDENT/CFO)
- **Authorized official phone:** (727) 489-4358

## Contact information

- **Practice address:** 1434 JAM LN, ODESSA, FL 33556-3704
- **Practice address phone:** (727) 489-4358
- **Practice address fax:** (813) 342-7934
- **Mailing address:** PO BOX 1166, ODESSA, FL 33556-1051
- **Mailing address phone:** (727) 489-4358
- **Mailing address fax:** (813) 342-7934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | HCC10745 | FL | Yes |

## Other

- **Enumeration date:** 09/16/2016
- **Last updated:** 09/16/2016