# EYE SPECIALISTS OF MID-FLORIDA, PA

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

## Provider details

- **NPI number:** 1417317389
- **Authorized official:** DANIEL WELCH MD (OWNER)
- **Authorized official phone:** (863) 294-3504

## Contact information

- **Practice address:** 2004 CR 540 A, LAKELAND, FL 33813
- **Practice address phone:** (863) 294-3504
- **Practice address fax:** (866) 522-3705
- **Mailing address:** 407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
- **Mailing address phone:** (863) 294-3504
- **Mailing address fax:** (866) 522-3706

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 03/04/2016