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Organization

PHYSICIAN MANAGEMENT SERVICES OF CONNECTICUT, LLC

Active
Parent organization
VAXCARE CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
VAXCARE CORPORATION
Authorized official
BRETT KENEFICK (PRESIDENT)
(888) 829-8550
Entity
Organization

Contact information

Practice address
34 PROFESSIONAL PARK RD, STORRS, CT 06268-1659
(888) 829-8550
Mailing address
800 N MAGNOLIA AVE STE 700, ORLANDO, FL 32803-3264

Taxonomy

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

Other

Enumeration date
08/24/2021
Last updated
05/21/2026
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