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Organization

SLUCH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ILYA SLUCH MD (OWNER)
(405) 762-0077
Entity
Organization

Contact information

Practice address
921 N MAIN ST, KISSIMMEE, FL 34744-4570
(407) 933-7800
Mailing address
812 WOOD BRIAR LOOP, SANFORD, FL 32771-5433

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207WX0120X
Cornea and External Diseases Specialist Physician

Other

Enumeration date
02/20/2022
Last updated
02/20/2022
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