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Organization
VALENTINE EYE CARE PLLC
Active
Organization
VALENTINE EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VALENTINE (OWNER)
(239) 822-2186
Entity
Organization
Contact information
Practice address
16970 SAN CARLOS BLVD STE 105, FORT MYERS, FL 33908-1225
(239) 466-2010
(239) 466-2015
Mailing address
16970 SAN CARLOS BLVD STE 105, FORT MYERS, FL 33908-1225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5285190001
MEDICARE JURISDICTION B DME MAC (DMERC)
—
01
—
OPC2134
LICENSE
FL
Enumeration date
08/18/2017
Last updated
12/07/2017
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