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Organization
ST. CLOUD EYE CARE
Active
Organization
ST. CLOUD EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN BUI (PRESIDENT)
(407) 556-3969
Entity
Organization
Contact information
Practice address
2050 OLD HICKORY TREE RD, SUITE I, SAINT CLOUD, FL 34772-8926
(407) 556-3969
Mailing address
2050 OLD HICKORY TREE RD, SUITE I, SAINT CLOUD, FL 34772-8926
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621268900
—
FL
Enumeration date
06/01/2010
Last updated
06/01/2010
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