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Organization
THE EYE PHYSICIANS OF PINELLAS, PA
Active
Organization
THE EYE PHYSICIANS OF PINELLAS, PA
Active
Parent organization
THE EYE PHYSICIANS OF PINELLAS, PA
Other names
Lakeland Eye Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EYE PHYSICIANS OF PINELLAS, PA
Authorized official
JOSEPH PRAVOOT GIRA MD (CMO)
(314) 909-0633
Entity
Organization
Contact information
Practice address
4708 S FLORIDA AVE, LAKELAND, FL 33813-2165
(863) 644-6455
Mailing address
15933 CLAYTON RD STE 210, BALLWIN, MO 63011-2172
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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