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Organization
VIP EYE CARE AND OPTICAL BOUTIQUE AT CARILLON LLC
Active
Organization
VIP EYE CARE AND OPTICAL BOUTIQUE AT CARILLON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA A HENRI OD (OWNER)
(727) 894-0500
Entity
Organization
Contact information
Practice address
12425 28TH ST N STE 103, ST PETERSBURG, FL 33716-1826
(727) 295-0500
Mailing address
12425 28TH ST N STE 103, ST PETERSBURG, FL 33716-1826
(727) 295-0500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
06/11/2023
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