Organization
PEREZ EYE CENTER P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARITA WHIDDEN (ADMINISTRATOR)
(813) 875-6588
Entity
Organization
Contact information
Practice address
4506 WISHART PL, TAMPA, FL 33603-2724
(813) 875-6588
(813) 873-3688
Mailing address
4506 WISHART PL, TAMPA, FL 33603-2724
(813) 875-6588
(813) 873-3688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004091300
—
FL
Enumeration date
08/22/2011
Last updated
02/28/2012
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