Organization
FLORIDA'S VISION QUEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY LYNN HAYNES (EXECUTIVE DIRECTOR)
(386) 917-1001
Entity
Organization
Contact information
Practice address
167 N INDUSTRIAL DR, ORANGE CITY, FL 32763-7414
(386) 917-1001
(386) 917-1008
Mailing address
167 N INDUSTRIAL DR, ORANGE CITY, FL 32763-7414
(386) 917-1001
(386) 917-1008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008735000
—
FL
Enumeration date
05/07/2013
Last updated
06/06/2016
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