Organization
MEDALLION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN LEE HERSKOVICH O.D. (MANAGER)
(917) 674-7457
Entity
Organization
Contact information
Practice address
2500 S KIRKMAN RD, ORLANDO, FL 32811-2345
(917) 674-7457
(954) 208-7456
Mailing address
13506 SUMMERPORT VILLAGE PKWY STE 254, WINDERMERE, FL 34786-7366
(917) 674-7457
(954) 208-7456
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3236
FL
Other
Enumeration date
12/13/2013
Last updated
09/28/2023
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