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Organization

CELEBRATION EYE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD GRAND O.D. (OPTOMETRIST)
(407) 460-0516
Entity
Organization

Contact information

Practice address
741 FRONT ST, SUITE 120, CELEBRATION, FL 34747-4991
(407) 566-2020
Mailing address
741 FRONT ST, SUITE 120, CELEBRATION, FL 34747-4991
(407) 566-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1995, OPC 2049
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0789241-00
FL
Enumeration date
11/28/2007
Last updated
09/01/2009
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