# G BROCK MAGRUDER JR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LaserVue
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013214261
- **Authorized official:** DR. GEORGE B. MAGRUDER II M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (407) 843-5665

## Contact information

- **Practice address:** 120 E PAR ST, SUITE 2000, ORLANDO, FL 32804-3943
- **Practice address phone:** (407) 843-5665
- **Practice address fax:** (407) 872-7939
- **Mailing address:** 120 E PAR ST, SUITE 2000, ORLANDO, FL 32804-3943
- **Mailing address phone:** (407) 843-5665
- **Mailing address fax:** (407) 872-7939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME56293 | FL | Yes |

## Other

- **Enumeration date:** 02/24/2011
- **Last updated:** 01/13/2012