Organization
BRANDON EYE ASSOCIATES PA
Active
Other names
BRANDON EYE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE FLESHNER (ADMINISTRATOR)
(813) 684-2211
Entity
Organization
Contact information
Practice address
540 MEDICAL OAKS AVE, SUITE 103, BRANDON, FL 33511-5995
(813) 684-2211
(813) 655-7669
Mailing address
540 MEDICAL OAKS AVE, SUITE 103, BRANDON, FL 33511-5995
(813) 684-2211
(813) 655-7669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256356800
—
FL
Enumeration date
07/07/2006
Last updated
04/25/2019
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