Organization
G BROCK MAGRUDER JR MD PA
Active
Other names
LaserVue
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE B. MAGRUDER II M.D. (MEDICAL DIRECTOR)
(407) 843-5665
Entity
Organization
Contact information
Practice address
120 E PAR ST, SUITE 2000, ORLANDO, FL 32804-3943
(407) 843-5665
(407) 872-7939
Mailing address
120 E PAR ST, SUITE 2000, ORLANDO, FL 32804-3943
(407) 843-5665
(407) 872-7939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME56293
FL
Other
Enumeration date
02/24/2011
Last updated
01/13/2012
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