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Organization
PRIMARY EYE CARE GROUP OD PA
Active
Organization
PRIMARY EYE CARE GROUP OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SARNO O.D. (TREASURER)
(727) 641-6602
Entity
Organization
Contact information
Practice address
8695 4TH ST N, ST PETERSBURG, FL 33702-3103
(727) 641-6602
(727) 578-1510
Mailing address
8695 4TH ST N, ST PETERSBURG, FL 33702-3103
(727) 641-6602
(727) 578-1510
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901870001
DMEPOS-PALMETTOGBA
FL
05
—
620622100
—
FL
Enumeration date
05/23/2007
Last updated
05/25/2010
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