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Organization
VEINTE 20 VISION CENTER & OPTICAL, P.A
Active
Organization
VEINTE 20 VISION CENTER & OPTICAL, P.A
Active
Other names
West Broward Vision Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO A CASTILLO O.D. (OWNER)
(352) 243-2724
Entity
Organization
Contact information
Practice address
101 DIVINE DR, SUITE 1, DAVENPORT, FL 33897-9571
(352) 243-2724
(863) 353-6842
Mailing address
101 DIVINE DR, SUITE 1, DAVENPORT, FL 33897-9571
(352) 243-2724
(863) 353-6842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004008
FL
Other
Enumeration date
01/21/2010
Last updated
12/09/2014
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