# MEDALLION ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1619398880
- **Authorized official:** DR. NORMAN LEE HERSKOVICH O.D. (MANAGER)
- **Authorized official phone:** (917) 674-7457

## Contact information

- **Practice address:** 2500 S KIRKMAN RD, ORLANDO, FL 32811-2345
- **Practice address phone:** (917) 674-7457
- **Practice address fax:** (954) 208-7456
- **Mailing address:** 13506 SUMMERPORT VILLAGE PKWY STE 254, WINDERMERE, FL 34786-7366
- **Mailing address phone:** (917) 674-7457
- **Mailing address fax:** (954) 208-7456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3236 | FL | Yes |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 09/28/2023