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Organization
BALDWIN PARK EYE CARE PA
Active
Organization
BALDWIN PARK EYE CARE PA
Active
Other names
Baldwin Park Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIASGHAR MEHEBOOB JAGANI OD (PRESIDENT)
(407) 979-4829
Entity
Organization
Contact information
Practice address
4829 NEW BROAD ST, ORLANDO, FL 32814-6629
(407) 979-4829
(407) 369-4250
Mailing address
4829 NEW BROAD ST, ORLANDO, FL 32814-6629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/12/2019
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