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Organization
ALLEN OPTICAL LLC.
Active
Organization
ALLEN OPTICAL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ALLEN LICENSED OPTICIAN (PRESIDENT)
(863) 547-9558
Entity
Organization
Contact information
Practice address
39859 HIGHWAY 27, DAVENPORT, FL 33837-7802
(863) 547-9558
Mailing address
39859 HIGHWAY 27, DAVENPORT, FL 33837-7802
(863) 547-9558
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DO2701
FL
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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