Organization
DR. BEN V. GRAHAM, O.D., PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN GRAHAM O.D. (OWNER)
(727) 345-3360
Entity
Organization
Contact information
Practice address
2143 TYRONE BLVD N, ST PETERSBURG, FL 33710-4023
(727) 345-3360
(727) 345-8945
Mailing address
2143 TYRONE BLVD N, ST PETERSBURG, FL 33710-4023
(727) 345-3360
(727) 345-8945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
07/28/2015
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