Individual
MRS. JENNIFER VACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 E. SPRUCE STREET, TARPON SPRINGS, FL 34689
(727) 580-0131
Mailing address
612 E. SPRUCE STREET, TARPON SPRINGS, FL 34689
(727) 580-0131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA50809
FL
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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