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Organization
1162 MILITARY TRAIL LLC
Active
Organization
1162 MILITARY TRAIL LLC
Active
Other names
Laser Eye Center of Miami
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GALEN GRAYSON M.D. (MEDICAL DIRECTOR/OWNER)
(877) 881-0022
Entity
Organization
Contact information
Practice address
1661 SW 37TH AVE, STE. 102, MIAMI, FL 33145-1754
(305) 461-2400
(305) 461-2902
Mailing address
1661 SW 37TH AVE, STE. 102, MIAMI, FL 33145-1754
(305) 461-2400
(305) 461-2902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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