Organization
RETINA TREATMENT CENTER, P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER MOSCOSO M.D. (MANAGING MEMBER)
(941) 870-2120
Entity
Organization
Contact information
Practice address
1911 MANATEE AVE E, STE 101, BRADENTON, FL 34208-1562
(941) 870-2120
(941) 328-3595
Mailing address
1911 MANATEE AVE E, STE 101, BRADENTON, FL 34208-1562
(941) 870-2120
(941) 328-3595
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME64743
FL
Other
Enumeration date
05/21/2013
Last updated
08/03/2016
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