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Organization
AHAD MAHOOTCHI, MD, PA
Active
Organization
AHAD MAHOOTCHI, MD, PA
Active
Other names
The Eye Clinic of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
AHAD MAHOOTCHI MD (PRESIDENT)
(813) 779-3338
Entity
Organization
Contact information
Practice address
6739 GALL BLVD, ZEPHYRHILLS, FL 33542-2522
(813) 779-3338
(813) 779-3318
Mailing address
PO BOX 1059, ZEPHYRHILLS, FL 33539-1059
(813) 779-3338
(813) 779-3318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
FL
207W00000X
Ophthalmology Physician
Primary
—
FL
332H00000X
Eyewear Supplier
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97315
BCBS FLORIDA GROUP NUMBER
FL
01
—
DE5595
RAILROAD MEDICARE
FL
Enumeration date
05/28/2006
Last updated
01/16/2008
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