Organization
PROVISION LASER EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT P DURRETT MD (OWNER)
(941) 493-0311
Entity
Organization
Contact information
Practice address
1191 JACARANDA BLVD, VENICE, FL 34292-4518
(941) 493-0311
(941) 492-4655
Mailing address
1191 JACARANDA BLVD, VENICE, FL 34292-4518
(941) 493-0311
(941) 492-4655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/16/2005
Last updated
12/21/2011
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