Organization
VAXCARE GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY DELOACH (PRESIDENT)
(888) 829-8550
Entity
Organization
Contact information
Practice address
989 GOVERNORS LN, SUITE 160, LEXINGTON, KY 40513-1173
(859) 514-5547
(859) 514-7084
Mailing address
4401 S ORANGE AVE, SUITE 117, ORLANDO, FL 32806-6946
(888) 829-8550
(888) 843-7191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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