Individual
ALEXANDER RICHARD VACCARO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
2680 N ORANGE AVE, ORLANDO, FL 32804-4602
(321) 541-4815
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
42914
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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