Organization
FLORIDA RETINA CONSULTANTS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT M FRIEDMAN MD (PRESIDENT)
(863) 682-7474
Entity
Organization
Contact information
Practice address
2202 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2908
(863) 682-7474
(863) 802-4587
Mailing address
2202 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2908
(863) 682-7474
(863) 802-4587
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME57010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF5994
RAILROAD MEDICARE
GA
Enumeration date
11/07/2005
Last updated
08/27/2013
Update your record
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