Organization
ST CLOUD EYE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LY T NGUYEN MD (OPHTHALMOLOGIST/MEDICAL DIRECTOR)
(407) 891-2010
Entity
Organization
Contact information
Practice address
10727 NARCOOSSEE RD, ORLANDO, FL 32832-6943
(407) 891-2010
(407) 891-8211
Mailing address
4796 LAKE CALABAY DR, ORLANDO, FL 32837-5435
(407) 891-2010
(407) 891-8211
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME94908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003838000
—
FL
Enumeration date
02/07/2013
Last updated
02/07/2013
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