Organization
DML OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA K FLOOD LOO (PRESIDENT)
(727) 522-8423
Entity
Organization
Contact information
Practice address
3455 49TH ST N, ST PETERSBURG, FL 33710-2147
(727) 522-8423
(727) 521-1886
Mailing address
3435 49TH ST N, ST PETERSBURG, FL 33710-2147
(727) 522-8423
(727) 521-1886
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1175
MEDICAL LICENSE
FL
Enumeration date
01/15/2007
Last updated
07/09/2008
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