Organization
LARGO FAMILY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOREY ANDREW YOUNG O.D. (SECRETARY)
(727) 585-8600
Entity
Organization
Contact information
Practice address
10500 ULMERTON RD STE 230, LARGO, FL 33771-3514
(727) 581-3817
(727) 585-4205
Mailing address
10500 ULMERTON RD STE 230, LARGO, FL 33771-3514
(727) 581-3817
(727) 585-4205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093197303
CMS
FL
01
—
1427082478
CMS
FL
Enumeration date
04/25/2017
Last updated
04/25/2017
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