Organization
EYE SPECIALISTS OF MID FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WELCH MD (PRESIDENT)
(863) 294-3504
Entity
Organization
Contact information
Practice address
2025 E EDGEWOOD DR, LAKELAND, FL 33803-3601
(863) 665-4515
(863) 665-4516
Mailing address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
(863) 294-8305
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME32357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0585110007
DMERC
—
Enumeration date
09/23/2010
Last updated
02/27/2013
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