# VITRECTOMY RECOVERY EQUIPMENT

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

## Provider details

- **NPI number:** 1447696018
- **Authorized official:** MR. CARL EUGENE BOX (VICE PRESIDENT)
- **Authorized official phone:** (904) 230-5400

## Contact information

- **Practice address:** 1509 W WINDY WILLOW DR, ST AUGUSTINE, FL 32092-5094
- **Practice address phone:** (904) 230-5400
- **Mailing address:** 1509 W WINDY WILLOW DR, ST AUGUSTINE, FL 32092-5094
- **Mailing address phone:** (904) 230-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 05/22/2013