Organization
EYE SPECIALISTS OF MID FLORIDA, PA
Active
Parent organization
EYE SPECIALISTS OF MID FLORIDA, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE SPECIALISTS OF MID FLORIDA, PA
Authorized official
ROSA TORRES (CREDENTIALING SPECIALIST)
(863) 294-3504
Entity
Organization
Contact information
Practice address
3350 HARDEN BLVD, LAKELAND, FL 33803-7939
(863) 294-3504
Mailing address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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