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Organization
PHILLIPS, SALOMON & PARRISH, PA
Active
Organization
PHILLIPS, SALOMON & PARRISH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD R SALOMON O.D. (REGISTERED AGENT)
(863) 299-8908
Entity
Organization
Contact information
Practice address
119 PATTERSON RD, HAINES CITY, FL 33844-7803
(863) 419-1300
(863) 595-2838
Mailing address
215 1ST ST N, SUITE 100, WINTER HAVEN, FL 33881-4537
(863) 299-8908
(863) 595-2838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078873206
—
FL
Enumeration date
12/18/2006
Last updated
02/14/2011
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