Organization
BELLA OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS A ROSSIQUE (PRES)
(407) 617-5988
Entity
Organization
Contact information
Practice address
2618 BOGGY CREEK RD, KISSIMMEE, FL 34744-4112
(407) 624-4508
Mailing address
2618 BOGGY CREEK RD, KISSIMMEE, FL 34744-4112
(407) 624-4508
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OE 1985
FL
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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