Organization
MANATEE FAMILY EYECARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN A PAQUIN JR. OD (VICE PRESIDENT)
(941) 729-5516
Entity
Organization
Contact information
Practice address
1236 JACARANDA BLVD, VENICE, FL 34292-4507
(941) 496-4444
(941) 496-4223
Mailing address
501 VILLAGE GREEN PKWY STE 3, BRADENTON, FL 34209-3401
(941) 792-7522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC7823
GBA-RAILROAD MEDICARE
FL
Enumeration date
12/21/2007
Last updated
07/25/2023
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