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Organization
CARSON OPTICAL COMPANY
Active
Organization
CARSON OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN CARSON (MANAGER)
(813) 968-5465
Entity
Organization
Contact information
Practice address
201 S KINGS AVE STE 4, BRANDON, FL 33511-5722
(813) 681-3863
Mailing address
201 S KINGS AVE STE 4, BRANDON, FL 33511-5722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
FL1402
FL
Other
Enumeration date
05/12/2008
Last updated
04/02/2013
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