Organization
ELLIOTT OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ELLIOTT (PRESIDENT)
(863) 465-1777
Entity
Organization
Contact information
Practice address
561 DAL HALL BLVD, LAKE PLACID, FL 33852-5446
(863) 465-1777
(863) 465-5279
Mailing address
561 DAL HALL BLVD, LAKE PLACID, FL 33852-5446
(863) 465-1777
(863) 465-5279
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO676
FL
Other
Enumeration date
04/02/2008
Last updated
05/21/2008
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