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Organization

ST MICHAELS EYE & LASER INSTITUTE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY L MICHAELOS (BILLING SUPERVISOR)
(727) 585-2200
Entity
Organization

Contact information

Practice address
1030 W BAY DR STE 200, LARGO, FL 33770-3276
(727) 585-2200
(813) 697-1758
Mailing address
1030 W BAY DR STE 200, LARGO, FL 33770-3276
(727) 585-2200
(813) 697-1758

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2006002749
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271542200
FL
Enumeration date
03/31/2006
Last updated
11/13/2024
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