Organization
AVALON PARK EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOHN TESINSKY O.D. (PRESIDENT/OPTOMETRIST)
(407) 567-9955
Entity
Organization
Contact information
Practice address
12001 AVALON LAKE DR, SUITE J, ORLANDO, FL 32828-7375
(407) 567-9955
(407) 567-9966
Mailing address
12001 AVALON LAKE DR, SUITE J, ORLANDO, FL 32828-7375
(407) 567-9955
(407) 567-9966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3836
FL
Other
Enumeration date
06/14/2009
Last updated
05/10/2010
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