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Organization
CENTRAL FLORIDA EYE CARE ASSOICATES, INC.
Active
Organization
CENTRAL FLORIDA EYE CARE ASSOICATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN E. CARLSON O.D. (OWNER)
(813) 979-2929
Entity
Organization
Contact information
Practice address
1815 E. FOWLER AVE., TAMPA, FL 33612
(813) 979-2929
(813) 979-9479
Mailing address
1815 E. FOWLER AVE., TAMPA, FL 33612
(813) 979-2929
(813) 979-9479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4262
FL
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GROUP002126700
—
FL
Enumeration date
01/15/2010
Last updated
05/10/2011
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