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Organization
OPHTHALMIC LABORATORY ST JOSEPHS HOSPITAL INC
Active
Organization
OPHTHALMIC LABORATORY ST JOSEPHS HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA CHRIST BERRYMAN CO (ORTHOPTIST SECRETARY TREASURER)
(813) 872-0480
Entity
Organization
Contact information
Practice address
2608 W AZEELE ST, #3, TAMAP, FL 33609
(813) 872-0480
(813) 872-0480
Mailing address
2608 W AZEELE ST, #3, TAMAP, FL 33609
(813) 872-0480
(813) 872-0480
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
09/28/2007
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