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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAY WEIL O.D. (CEO)
(813) 348-9696
Entity
Organization

Contact information

Practice address
2223 N WEST SHORE BLVD, STE 169B, TAMPA, FL 33607-1411
(813) 348-9696
(813) 398-0660
Mailing address
2223 N WEST SHORE BLVD, STE 169B, TAMPA, FL 33607-1411
(813) 348-9696
(813) 398-0660

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPC1789
FL

Other

Enumeration date
01/13/2011
Last updated
09/28/2012
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