Organization
CENTRAL FLORIDA EYE CARE ASSOICATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN E. CARLSON O.D. (OWNER)
(813) 979-2929
Entity
Organization
Contact information
Practice address
1815 E. FOWLER AVE., TAMPA, FL 33612
(813) 979-2929
(813) 979-9479
Mailing address
1815 E. FOWLER AVE., TAMPA, FL 33612
(813) 979-2929
(813) 979-9479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4262
FL
152W00000X
Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GROUP002126700
—
FL
Enumeration date
01/15/2010
Last updated
05/10/2011
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