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Organization
VISIONARY EYE CARE TAMPA INC
Active
Organization
VISIONARY EYE CARE TAMPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BRADY COOK OD (PRESIDENT/ OPTOMETRIST)
(813) 425-9596
Entity
Organization
Contact information
Practice address
3015 SAMARA DR, TAMPA, FL 33618-4305
(813) 334-0555
Mailing address
17655 NORTH DALE MABRY HWY, LUTZ, FL 33548-4535
(813) 425-9596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3566
FL
Other
Enumeration date
03/11/2008
Last updated
06/25/2008
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