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Organization

EYESHOPPE OF ORLANDO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT HERNANDEZ UYCOCO OPTICIAN (MANAGER/OPTICIAN)
(407) 382-7701
Entity
Organization

Contact information

Practice address
10209 E COLONIAL DR, 130, ORLANDO, FL 32817-4306
(407) 382-7701
(407) 382-7702
Mailing address
10209 E COLONIAL DR, 130, ORLANDO, FL 32817-4306
(407) 382-7701
(407) 382-7702

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OE1930
FL

Other

Enumeration date
12/29/2010
Last updated
12/29/2010
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