Organization
VALLONE EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACIE E. VALLONE OD (OWNER)
(239) 851-8468
Entity
Organization
Contact information
Practice address
2224 SE 19TH AVE, CAPE CORAL, FL 33990-4710
(239) 851-8468
Mailing address
2224 SE 19TH AVE, CAPE CORAL, FL 33990-4710
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
OPC 3193
FL
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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