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Organization
BEDOYA EYE CARE P A
Active
Organization
BEDOYA EYE CARE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO BEDOYA MD (OWNER)
(386) 755-7595
Entity
Organization
Contact information
Practice address
876 SW STATE ROAD 247, LAKE CITY, FL 32025-8308
(386) 755-7595
(386) 755-7561
Mailing address
4206 NW WISTERIA DR, LAKE CITY, FL 32055-4804
(386) 755-7595
(386) 755-7561
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016400
—
FL
Enumeration date
07/30/2006
Last updated
07/15/2010
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