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Organization
BRANDON EYE ASSOCIATES PA
Active
Organization
BRANDON EYE ASSOCIATES PA
Active
Parent organization
BRANDON EYE ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRANDON EYE ASSOCIATES PA
Authorized official
MICHELLE FLESHNER (PRACTICE ADMINISTRATOR)
(813) 684-2211
Entity
Organization
Contact information
Practice address
779 CORTARO DR, SUN CITY CENTER, FL 33573-6812
(813) 213-0020
(813) 642-7357
Mailing address
540 MEDICAL OAKS AVE STE 103, BRANDON, FL 33511-5995
(813) 684-2211
(813) 655-7669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256356803
—
FL
Enumeration date
02/28/2022
Last updated
02/28/2022
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