Organization
CENTRAL FLORIDA PREMIER EYE ASSOCIATES
Active
Other names
Lake Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT CORBIN HOLMAN (OWNER)
(352) 343-4798
Entity
Organization
Contact information
Practice address
4900 N COUNTY ROAD 19A, MOUNT DORA, FL 32757-2042
(352) 483-3555
Mailing address
1852 MAYO DR, TAVARES, FL 32778-4320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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