Organization
RETINA MACULA SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME H MEMBRENO MD (PRESIDENT)
(407) 931-1510
Entity
Organization
Contact information
Practice address
720 W OAK ST, SUITE 301, KISSIMMEE, FL 34741-4989
(407) 931-1510
(407) 931-3759
Mailing address
720 W OAK ST, SUITE 301, KISSIMMEE, FL 34741-4989
(407) 931-1510
(407) 931-3759
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME85244
FL
Other
Enumeration date
01/23/2007
Last updated
02/16/2011
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