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Organization
ADVANCED MEDICAL EYE CONSULTANTS LLC
Active
Organization
ADVANCED MEDICAL EYE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L.D. IAN ROE M.D. (MANAGING MEMBER)
(863) 382-7300
Entity
Organization
Contact information
Practice address
6801 US HIGHWAY 27 N, SUITE D-3, SEBRING, FL 33870-7840
(863) 382-7300
(486) 243-0007
Mailing address
PO BOX 1195, SEBRING, FL 33871-1195
(863) 382-7300
(786) 243-0007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
NULL
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790831220
INDIVIDUAL NPI
—
Enumeration date
02/26/2007
Last updated
12/30/2008
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