Organization
GROOM EYE CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIMI GROOM M.D. (OWNER)
(239) 597-5700
Entity
Organization
Contact information
Practice address
3455 PINE RIDGE RD, NAPLES, FL 34109-3824
(239) 597-5700
(239) 597-3500
Mailing address
3455 PINE RIDGE RD, NAPLES, FL 34109-3824
(239) 597-5700
(239) 597-3500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME65790
FL
Other
Enumeration date
07/11/2007
Last updated
01/14/2013
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