Organization
FRANK TANAKA OCULARIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. K. FRANK TANAKA (OCULARIST)
(813) 978-1142
Entity
Organization
Contact information
Practice address
1385 W STATE ROAD 434, SUITE 207, LONGWOOD, FL 32750-6214
(407) 834-1990
(813) 975-0921
Mailing address
3000 E FLETCHER AVE, SUITE 310, TAMPA, FL 33613-4645
(813) 978-1142
(813) 975-0921
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M1022
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/19/2007
Last updated
03/13/2008
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