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Organization
TAMPA BAY OPTOMETRIC GROUP PA
Active
Organization
TAMPA BAY OPTOMETRIC GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ENGEL (DIRECTOR OF ADMINISTRATION)
(727) 361-0431
Entity
Organization
Contact information
Practice address
11212 PARK BLVD, SEMINOLE, FL 33772-4752
(727) 393-1501
Mailing address
PO BOX 40510, ST PETERSBURG, FL 33743-0510
(727) 361-0431
(727) 344-7952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
12/31/2009
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