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Organization

CENTAURUS HEALTHCARE, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT GARY VICTOME DDS (OWNER)
(561) 260-2154
Entity
Organization

Contact information

Practice address
7657 LAKE WORTH RD, LAKE WORTH, FL 33467-2534
(561) 357-1009
Mailing address
6137 LAKE WORTH RD, GREENACRES, FL 33463-3074
(561) 357-1009

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
11/09/2016
Last updated
11/09/2016
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