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Organization
SLUCH LLC
Active
Organization
SLUCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA SLUCH MD (OWNER)
(405) 762-0077
Entity
Organization
Contact information
Practice address
921 N MAIN ST, KISSIMMEE, FL 34744-4570
(407) 933-7800
Mailing address
812 WOOD BRIAR LOOP, SANFORD, FL 32771-5433
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0120X
Cornea and External Diseases Specialist Physician
—
NULL
207WX0120X
Cornea and External Diseases Specialist Physician
—
—
Other
Enumeration date
02/20/2022
Last updated
02/20/2022
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