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Organization

CENTRAL FLORIDA PREMIER EYE ASSOCIATES

Active
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Organization

CENTRAL FLORIDA PREMIER EYE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARIANA BEDOYA (CREDENTIALING SPECIALIST)
(727) 755-0693
Entity
Organization

Contact information

Practice address
3310 WATERMAN WAY, TAVARES, FL 32778-5250
(352) 253-5961
Mailing address
311 PARK PLACE BLVD, 5TH FLOOR, CLEARWATER, FL 33759-4904
(727) 755-0693

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME59804
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054257100
FL
Enumeration date
02/04/2016
Last updated
02/04/2016
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