# RETINA TREATMENT CENTER, P.L.

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

## Provider details

- **NPI number:** 1376989921
- **Authorized official:** DR. WALTER MOSCOSO M.D. (MANAGING MEMBER)
- **Authorized official phone:** (941) 870-2120

## Contact information

- **Practice address:** 1911 MANATEE AVE E, STE 101, BRADENTON, FL 34208-1562
- **Practice address phone:** (941) 870-2120
- **Practice address fax:** (941) 328-3595
- **Mailing address:** 1911 MANATEE AVE E, STE 101, BRADENTON, FL 34208-1562
- **Mailing address phone:** (941) 870-2120
- **Mailing address fax:** (941) 328-3595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME64743 | FL | Yes |

## Other

- **Enumeration date:** 05/21/2013
- **Last updated:** 08/03/2016