Organization
ENVIZION MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN VAES (OWNER)
(813) 205-4550
Entity
Organization
Contact information
Practice address
2711 LETAP CT, SUITE 101, LAND O LAKES, FL 34638-7229
(813) 279-2211
(813) 948-3999
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(727) 755-0693
(727) 755-0679
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME67888
FL
Other
Enumeration date
01/27/2016
Last updated
01/19/2021
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