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Organization
LIZ VAWTER OD PA
Active
Organization
LIZ VAWTER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KATHRYN VAWTER OD (PRESIDENT)
(941) 224-9382
Entity
Organization
Contact information
Practice address
2020 MANATEE AVE W, BRADENTON, FL 34205-5856
(941) 747-1831
Mailing address
3811 2ND DR NE, BRADENTON, FL 34208-5075
(941) 224-9382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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