# SLUCH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336894120
- **Authorized official:** ILYA SLUCH MD (OWNER)
- **Authorized official phone:** (405) 762-0077

## Contact information

- **Practice address:** 921 N MAIN ST, KISSIMMEE, FL 34744-4570
- **Practice address phone:** (407) 933-7800
- **Mailing address:** 812 WOOD BRIAR LOOP, SANFORD, FL 32771-5433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 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