Vagovic, Kandace F

Vagovic, Kandace F is an individual health care provider with primary practice located at 517 Health Blvd , Daytona Beach FL 32114-1493. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vagovic, Kandace F can be contacted via phone (386) 274-1005.

Contact Information

Primary practice address
517 Health Blvd Daytona Beach FL 32114-1493
Phone: (386) 274-1005
Fax: (386) 274-5779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2619 Florida

Profile Details

NPI number 1336193044
LBN Legal business name Vagovic, Kandace F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 21st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336193044 NPPES
Florida MEDICAID 292636900

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