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Organization

FLORIDA EYE CLINIC P A

Active
Parent organization
FLROIDA EYE CLINIC P A
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLROIDA EYE CLINIC P A
Authorized official
GEN PARM (ADMINISTRATOR)
(407) 834-7776
Entity
Organization

Contact information

Practice address
100 INTERNATIONAL PKWY, #118, LAKE MARY, FL 32746-7302
(407) 805-0425
(407) 333-0195
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 834-7776
(407) 834-0973

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
02/21/2006
Last updated
11/15/2007
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