Organization
FAZIO EYE INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE E KERRIS-FAZIO O.D. (PRESIDENT)
(813) 677-1424
Entity
Organization
Contact information
Practice address
5208 E FOWLER AVE, SUITE B, TAMPA, FL 33617-1906
(813) 988-1163
(813) 988-7563
Mailing address
5208 E FOWLER AVE, SUITE B, TAMPA, FL 33617-1906
(813) 988-1163
(813) 988-7563
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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