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Organization
WW EYECAR & SURGERY LLC
Active
Organization
WW EYECAR & SURGERY LLC
Active
Other names
NANCY E. WILLIAMS-WALLACE MD
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY E WILLIAMS-WALLACE MD (PRESIDENT)
(727) 772-7712
Entity
Organization
Contact information
Practice address
32615 US HIGHWAY 19 N STE 6, PALM HARBOR, FL 34684-3176
(727) 772-7712
(727) 772-6891
Mailing address
32615 US HIGHWAY 19 N STE 6, PALM HARBOR, FL 34684-3176
(727) 772-7712
(727) 772-6891
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME69004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378657900
—
FL
Enumeration date
06/04/2014
Last updated
06/18/2014
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