Organization
BLOOMINGDALE EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SIMEON OD (OWNER)
(813) 655-9710
Entity
Organization
Contact information
Practice address
407 W BLOOMINGDALE AVE, BRANDON, FL 33511-7401
(813) 655-9710
Mailing address
407 W BLOOMINGDALE AVE, BRANDON, FL 33511-7401
(813) 655-9710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC0002680
FL
152W00000X
Optometrist
Primary
OPC0002917
FL
Other
Enumeration date
07/28/2009
Last updated
08/18/2010
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