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Organization
FLORIDA EYE LAB LLC
Active
Organization
FLORIDA EYE LAB LLC
Active
Other names
My Eye Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SPECIALIST)
(561) 433-6009
Entity
Organization
Contact information
Practice address
3321 SW ARCHER RD, GAINESVILLE, FL 32608-1745
(561) 275-2020
Mailing address
3321 SW ARCHER RD, GAINESVILLE, FL 32608-1745
(561) 275-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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